ST. Luke's Physician Group, INC.
ST. Luke's Physician Group, INC. was paid $1.10M by Medicaid between Oct 2020 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
FOUNTAIN HILL, PA 18015
Next to other Pediatric Gastroenterology 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 | |
|---|---|---|---|
| 2020 | 352 | $29K | |
| 2021 | 2,460 | $197K | |
| 2022 | 3,640 | $279K | |
| 2023 | 3,578 | $300K | |
| 2024incomplete | 3,117 | $294K |
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 | 51% | 7,801 | 7,561 | $556K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 24% | 1,812 | 1,796 | $261K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.6% | 1,060 | 1,001 | $105K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.5% | 621 | 616 | $93K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 1,379 | 1,364 | $63K |
| 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% | 56 | 53 | $6K |
| 97803 | <1% | 193 | 191 | $6K | |
| 99245 | <1% | 24 | 24 | $5K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 177 | 171 | $2K |
| 99243 | <1% | 12 | 12 | $1K | |
| 1036F | 0% | 12 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| ST. Luke's Physician Group, INC. | Bethlehem, PA | $6.08M |
| ST. Luke's Physician Group, INC. | Bethlehem, PA | $2.30M |
| GSLPG, INC | Orwigsburg, PA | $1.78M |
| ST. Luke's Physician Group, INC. | Fountain Hill, PA | $1.57M |
| ST Luke's Physician Group INC | Bethlehem, PA | $1.42M |
| ST Luke's Physician Group INC | Allentown, PA | $865K |
| ST. Luke's Physician Group, INC. | Easton, PA | $605K |
| ST. Luke's Physician Group, INC | Stroudsburg, 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 INC | Easton, PA | $361K |
| ST. Luke's Physician Group INC | Northampton, PA | $267K |
| ST. Luke's Physician Group, INC. | Center Valley, PA | $262K |
| ST Luke's Physician Group INC | Bethlehem, PA | $256K |
| ST. Luke's Physician Group, INC | Easton, PA | $251K |
| ST. Luke's Physician Group, INC. | Palmerton, PA | $242K |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $216K |
| ST. Luke's Physician Group INC | Bethlehem, PA | $211K |
| ST. Luke's Physician Group, INC. | Allentown, PA | $186K |
| GSLPG INC | Orwigsburg, PA | $173K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.