Physician
ST. Luke's Physician Group, INC.
ST. Luke's Physician Group, INC. was paid $516K by Medicaid between Jul 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
TAMAQUA, PA 18252
TAMAQUA, PA 18252
33aNPI1255438529assigned 09/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$516K
24GClaims15,199
24DCodes billed27
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#128 of 2,756
Median peer was paid$19K
This provider vs. median27×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18 | $159.46 | |
| 2019 | 42 | $847.87 | |
| 2020 | 618 | $17K | |
| 2021 | 2,939 | $87K | |
| 2022 | 3,826 | $120K | |
| 2023 | 4,171 | $148K | |
| 2024incomplete | 3,585 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 5,331 | 5,146 | $250K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 4,945 | 4,667 | $163K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 572 | 562 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 350 | 348 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 146 | 146 | $12K |
| 99499 | 1.4% | 519 | 486 | $7K | |
| 90686 | 1.2% | 959 | 953 | $6K | |
| 90698 | <1% | 354 | 354 | $3K | |
| 90677 | <1% | 186 | 186 | $2K | |
| 90670 | <1% | 150 | 146 | $1K | |
| 90656 | <1% | 142 | 142 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 84 | 69 | $1K |
15 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 90680 | <1% | 109 | $984.00 | |
| 96161 | <1% | 226 | $739.73 | |
| 90633 | <1% | 67 | $674.00 | |
| 90682 | <1% | 13 | $602.03 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 99 | $577.54 |
| 83655 | <1% | 53 | $513.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 67 | $509.26 |
| 90658 | <1% | 22 | $226.00 | |
| 85018 | <1% | 63 | $206.40 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 15 | $170.34 |
| 90744 | <1% | 12 | $126.00 | |
| 3008F | 0% | 364 | $0.00 | |
| 1036F | 0% | 55 | $0.00 | |
| 3725F | 0% | 284 | $0.00 |
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, SUSAN (CVO SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| GSL Hospital | Orwigsburg, PA | $3.71M |
| ST. Luke's Physician Group, INC. | Wind Gap, PA | $66K |
| GSLPG, INC | Orwigsburg, PA | $28K |
| ST. Luke's Physician Group, INC | Easton, PA | $24K |
| ST Luke's Physician Group INC | Bethlehem, PA | $17K |
| GSLPG Orthopedic Specialists | Orwigsburg, PA | $11K |
| ST. Luke's Physician Group, INC | Bethlehem, PA | $7K |
| GSLPG, INC | Orwigsburg, PA | $237.66 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.