Physician
Luke, Charles
Luke, Charles was paid $1.65M by Medicaid between Nov 2020 and Aug 2024, across 12 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 62% of everything it billed.
33Billing provider infoLUKE, CHARLES
CRANBERRY TWP, PA 16066
CRANBERRY TWP, PA 16066
33aNPI1326222902assigned 12/19/2007
33bProvider typeAnesthesiology Physician
28Total paid$1.65M
24GClaims16,498
24DCodes billed12
24AFirst – last monthNov 2020 – Aug 2024
Compared with peers
Next to other Anesthesiology Physician providers in Pennsylvania
Rank by total paid#11 of 168
Median peer was paid$9K
This provider vs. median174×
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 | |
|---|---|---|---|
| 2020 | 432 | $38K | |
| 2021 | 3,695 | $503K | |
| 2022 | 4,404 | $506K | |
| 2023 | 4,475 | $388K | |
| 2024incomplete | 3,492 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 62% | 3,762 | 3,754 | $1.02M |
| 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 | 21% | 6,355 | 5,418 | $346K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 2,878 | 2,618 | $113K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 4.6% | 447 | 447 | $75K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 3.6% | 1,367 | 1,140 | $59K |
| 80305 | <1% | 1,353 | 1,133 | $16K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 194 | 123 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | 73 | $2K |
| 99254 | <1% | 12 | 12 | $592.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | 24 | $284.74 |
| 76942 | <1% | 12 | 12 | $233.99 | |
| 99484 | <1% | 21 | 21 | $2.62 |
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.