Medicaid Provider Spending

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

ST LUKE'S HOSPITAL

NPI: 1356354567 · LEHIGHTON, PA 18235 · Clinic/Center · NPI assigned 08/15/2006

$1.16M
Total Medicaid Paid
28,940
Total Claims
25,079
Beneficiaries
102
Codes Billed
2018-01
First Month
2022-02
Last Month

Provider Details

Authorized OfficialLICHTENWALNER, THOMAS (SENIOR VP FINANCE)
NPI Enumeration Date08/15/2006

Related Entities

Other providers sharing the same authorized official: LICHTENWALNER, THOMAS

ProviderCityStateTotal Paid
ST LUKE'S HOSPITAL ALLENTOWN PA $6.98M
ST LUKE'S HOSPITAL ALLENTOWN PA $4.97M
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. TAMAQUA PA $2.00M
THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. LANSFORD PA $758K
THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. RINGTOWN PA $393K
GSLPG, INC ORWIGSBURG PA $31K
ST. LUKE'S HOSPITAL PALMERTON PA $607.60

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49 $3K
2019 463 $17K
2020 8,488 $341K
2021 19,677 $778K
2022 263 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 1,431 1,374 $160K
99283 Emergency department visit for the evaluation and management, moderate severity 1,942 1,843 $154K
G0378 Hospital observation service, per hour 183 162 $150K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 866 807 $133K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,336 1,276 $90K
T1015 Clinic visit/encounter, all-inclusive 2,604 594 $71K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 739 716 $55K
74177 Computed tomography, abdomen and pelvis; with contrast material 297 289 $52K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 830 830 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 370 346 $21K
80053 Comprehensive metabolic panel 1,805 1,659 $17K
70450 Computed tomography, head or brain; without contrast material 236 228 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 447 435 $14K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 149 89 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,239 2,086 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 142 139 $10K
77067 Screening mammography, bilateral, including computer-aided detection 121 120 $10K
80050 General health panel 247 242 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity 248 235 $9K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 139 15 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 954 867 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material 111 106 $9K
84443 Thyroid stimulating hormone (TSH) 270 266 $6K
71275 Computed tomographic angiography, chest, with contrast material 30 30 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 146 141 $5K
80061 Lipid panel 397 393 $5K
71045 Radiologic examination, chest; single view 606 577 $4K
80048 Basic metabolic panel (calcium, ionized) 482 460 $4K
87631 26 26 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 62 60 $3K
77063 Screening digital breast tomosynthesis, bilateral 121 120 $3K
83880 108 104 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 39 34 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $2K
71046 Radiologic examination, chest; 2 views 166 162 $2K
83735 339 322 $2K
87086 Culture, bacterial; quantitative colony count, urine 267 251 $2K
87040 105 102 $2K
85730 321 312 $2K
85027 279 247 $2K
83690 390 376 $2K
85379 187 177 $2K
84702 93 80 $1K
83036 Hemoglobin; glycosylated (A1C) 242 237 $1K
85610 452 440 $1K
84484 277 240 $1K
81001 543 519 $1K
83605 198 189 $1K
87070 199 197 $1K
82728 127 124 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 189 186 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 33 33 $1K
73630 119 109 $1K
81003 376 364 $1K
J7030 Infusion, normal saline solution , 1000 cc 352 322 $944.21
84439 127 123 $927.89
83540 121 118 $909.17
72125 Computed tomography, cervical spine; without contrast material 12 12 $903.31
71250 12 12 $806.78
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 28 28 $768.15
82607 64 63 $727.58
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 12 $719.67
76700 Ultrasound, abdominal, real time with image documentation; complete 13 13 $693.02
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 24 13 $647.66
90715 41 41 $636.89
73610 37 36 $635.19
73130 62 55 $595.99
82570 83 79 $580.57
73564 27 25 $567.76
94729 14 14 $514.96
94726 14 14 $473.28
84703 44 42 $437.49
85007 108 91 $407.28
36415 Collection of venous blood by venipuncture 339 287 $388.80
87186 57 54 $385.06
83550 86 83 $379.31
86140 153 148 $369.34
82043 52 52 $341.58
87077 43 40 $309.75
82948 172 154 $299.56
J1885 Injection, ketorolac tromethamine, per 15 mg 700 652 $284.97
82077 14 12 $280.57
J7050 Infusion, normal saline solution, 250 cc 331 116 $247.13
88305 Level IV - Surgical pathology, gross and microscopic examination 28 28 $221.40
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 14 $214.03
73110 15 14 $196.57
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 38 37 $192.83
73030 13 13 $185.50
85652 73 70 $181.97
J2405 Injection, ondansetron hydrochloride, per 1 mg 408 341 $159.38
86901 42 40 $151.63
86900 42 40 $149.80
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 54 53 $142.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 277 231 $139.90
80076 12 12 $84.11
J2270 Injection, morphine sulfate, up to 10 mg 38 37 $78.15
86850 12 12 $66.34
J7120 Ringers lactate infusion, up to 1000 cc 15 14 $37.44
J3475 Injection, magnesium sulfate, per 500 mg 13 13 $13.41
J2060 Injection, lorazepam, 2 mg 15 12 $12.24
J1200 Injection, diphenhydramine hcl, up to 50 mg 17 13 $3.52
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 30 26 $0.00