Medicaid Provider Spending

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

ST. LUKE'S PHYSICIAN GROUP, INC.

NPI: 1326061581 · BETHLEHEM, PA 18017 · Psychiatry Physician · NPI assigned 07/26/2006

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

Authorized official CHIAVAROLI, SUE controls 20+ related entities in our dataset. Read more

$6.08M
Total Medicaid Paid
114,514
Total Claims
71,741
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHIAVAROLI, SUE (MANAGER)
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: CHIAVAROLI, SUE

ProviderCityStateTotal Paid
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. FOUNTAIN HILL PA $1.10M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 235 $3K
2019 201 $2K
2020 3,089 $112K
2021 19,851 $602K
2022 26,123 $1.34M
2023 27,545 $1.59M
2024 37,470 $2.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 48,002 26,383 $2.88M
90792 Psychiatric diagnostic evaluation with medical services 7,233 6,810 $904K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,428 12,728 $774K
90832 Psychotherapy, 30 minutes with patient 23,386 11,331 $672K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,670 5,029 $291K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,569 4,249 $230K
99232 Subsequent hospital care, per day, moderate complexity 6,061 857 $88K
90837 Psychotherapy, 53 minutes with patient 1,231 839 $84K
90847 Family psychotherapy with the patient present, 50 minutes 1,547 1,244 $70K
90853 Group psychotherapy (other than of a multiple-family group) 2,243 1,264 $43K
99215 Prolong outpt/office vis 370 267 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 135 130 $6K
99245 28 27 $3K
99308 Subsequent nursing facility care, per day, straightforward 333 311 $3K
H2011 Crisis intervention service, per 15 minutes 15 13 $3K
99222 Initial hospital care, per day, moderate complexity 56 54 $2K
99254 14 14 $1K
99239 Hospital discharge day management, more than 30 minutes 25 25 $1K
99238 Hospital discharge day management, 30 minutes or less 53 53 $985.56
99205 Prolong outpt/office vis 15 15 $975.00
99283 Emergency department visit for the evaluation and management, moderate severity 16 15 $522.45
96127 46 45 $506.00
99223 Prolong inpt eval add15 m 12 12 $369.60
99242 13 13 $275.75
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $217.00