Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Center Valley › NPI 1215032503
Physician

ST. Luke's Physician Group, INC.

ST. Luke's Physician Group, INC. was paid $489K by Medicaid between Oct 2020 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
CENTER VALLEY, PA 18034
33aNPI1215032503assigned 09/13/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$489K
24GClaims11,848
24DCodes billed8
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Pennsylvania

Rank by total paid#7 of 143
Median peer was paid$15K
This provider vs. median33×

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$10K$20K2018201920202021202220232024
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
2020341$16K
20212,542$110K
20222,320$93K
20233,573$146K
2024incomplete3,072$125K
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 86% 10,302 10,147 $419K
99244 Office or other outpatient consultation, moderate to high complexity 6.5% 234 234 $32K
95251 3.9% 746 726 $19K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.7% 124 118 $8K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1.1% 137 121 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 72 72 $3K
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% 39 38 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 194 193 $2K

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 (CVO SUPERVISOR)
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.Bowmanstown, PA$367K
ST. Luke's Physician Group INCEaston, PA$361K
ST. Luke's Physician Group INCNorthampton, PA$267K
ST. Luke's Physician Group, INC.Center Valley, PA$262K
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.