Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST LUKE HOSPITAL

NPI: 1245809425 · PALMERTON, PA 18071 · Sports Medicine (Family Medicine) Physician · NPI assigned 06/22/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WOLFE, SCOTT controls 20+ related entities in our dataset. Read more

$122K
Total Medicaid Paid
2,254
Total Claims
2,149
Beneficiaries
7
Codes Billed
2021-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOLFE, SCOTT (SENIOR VP FINANCNE)
NPI Enumeration Date06/22/2021

Related Entities

Other providers sharing the same authorized official: WOLFE, SCOTT

ProviderCityStateTotal Paid
ST LUKES HOSPITAL BETHLEHEM PA $20.74M
ST. LUKE'S HOSPITAL MONROE CAMPUS STROUDSBURG PA $11.88M
ST LUKES HOSPITAL-ANDERSON CAMPUS EASTON PA $8.47M
ST LUKES EMERGENCY & TRANSPORT SERVICES, INC QUAKERTOWN PA $4.32M
ST LUKES QUAKERTOWN HOSPITAL QUAKERTOWN PA $3.56M
ST. LUKE'S HOSPITAL GRAND VIEW CAMPUS SELLERSVILLE PA $2.45M
ST. LUKE'S HOSPITAL-CARBON CAMPUS LEHIGHTON PA $1.36M
ST. LUKE'S HOSPITAL BETHLEHEM LEHIGHTON PA $707K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. HAZLE TOWNSHIP PA $307K
ST. LUKE'S HOSPITAL MONROE CAMPUS BRODHEADSVILLE PA $263K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. TAMAQUA PA $248K
CARBON - SCHUYLKILL COMMUNITY HOSPITAL INC MAHANOY CITY PA $221K
ST. LUKE'S HOSPITAL MONROE CAMPUS POCONO SUMMIT PA $211K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. LEHIGHTON PA $192K
ST. LUKE'S PHYSICIAN GROUP, INC ALLENTOWN PA $173K
ST. LUKE'S HOSPITAL HAMBURG PA $126K
ST. LUKE'S HOSPITAL MONROE CAMPUS EAST STROUDSBURG PA $105K
ST. LUKE'S HOSPITAL WHITEHALL PA $85K
ST. LUKE'S HOSPTIAL WIND GAP PA $67K
ST. LUKE'S HOSPITAL JIM THORPE PA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 123 $3K
2022 958 $59K
2023 405 $13K
2024 768 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,609 1,534 $105K
S9088 Services provided in an urgent care center (list in addition to code for service) 480 451 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37 36 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13 13 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 45 45 $722.99
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 57 57 $330.18
87070 13 13 $75.90