ST Luke Hospital
ST Luke Hospital was paid $122K by Medicaid between Sep 2021 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
PALMERTON, PA 18071
Next to other Sports Medicine (Family Medicine) Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 123 | $3K | |
| 2022 | 958 | $59K | |
| 2023 | 405 | $13K | |
| 2024incomplete | 768 | $47K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 86% | 1,609 | 1,534 | $105K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 8.2% | 480 | 451 | $10K |
| 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 | 3.3% | 37 | 36 | $4K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.2% | 13 | 13 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 45 | 45 | $722.99 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 57 | 57 | $330.18 |
| 87070 | <1% | 13 | 13 | $75.90 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.