Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST. Luke's Physician Group, INC.

ST. Luke's Physician Group, INC. was paid $262K by Medicaid between Aug 2021 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
CENTER VALLEY, PA 18034
33aNPI1194306647assigned 04/16/2021
28Total paid$262K
24GClaims5,783
24DCodes billed8
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers

Next to other Pediatric Endocrinology Physician providers in Pennsylvania

Rank by total paid#6 of 22
Median peer was paid$92K
This provider vs. median2.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CHIAVAROLI, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2021477$20K
20221,508$67K
20232,026$99K
2024incomplete1,772$77K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52% 2,819 2,769 $137K
99244 Office or other outpatient consultation, moderate to high complexity 26% 538 529 $69K
95251 8.4% 722 709 $22K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.6% 341 335 $12K
83036 Hemoglobin; glycosylated (A1C) 3.5% 1,138 1,120 $9K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 100 98 $6K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1.6% 94 82 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.2% 31 31 $3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCHIAVAROLI, SUE (ENROLLMENT SUPERVISOR)
Parent organizationST. LUKE'S PHYSICIAN GROUP, INC.
Same official

Other billing entities under CHIAVAROLI, SUE

Full network →
ProviderLocationPaid
ST. Luke's Physician Group, INC.Bethlehem, PA$6.08M
ST. Luke's Physician Group, INC.Bethlehem, PA$2.30M
GSLPG, INCOrwigsburg, PA$1.78M
ST. Luke's Physician Group, INC.Fountain Hill, PA$1.57M
ST Luke's Physician Group INCBethlehem, PA$1.42M
ST. Luke's Physician Group, INC.Fountain Hill, PA$1.10M
ST Luke's Physician Group INCAllentown, PA$865K
ST. Luke's Physician Group, INC.Easton, PA$605K
ST. Luke's Physician Group, INCStroudsburg, PA$523K
ST. Luke's Physician Group, INC.Center Valley, PA$489K
ST. Luke's Physician Group, INC.Bowmanstown, PA$367K
ST. Luke's Physician Group INCEaston, PA$361K
ST. Luke's Physician Group INCNorthampton, PA$267K
ST Luke's Physician Group INCBethlehem, PA$256K
ST. Luke's Physician Group, INCEaston, PA$251K
ST. Luke's Physician Group, INC.Palmerton, PA$242K
ST. Luke's Warren Physician Group, PCPhillipsburg, NJ$216K
ST. Luke's Physician Group INCBethlehem, PA$211K
ST. Luke's Physician Group, INC.Allentown, PA$186K
GSLPG INCOrwigsburg, PA$173K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.