Medicaid Provider Spending

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

THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC.

NPI: 1386185452 · LEHIGHTON, PA 18235 · Emergency Medicine Physician · NPI assigned 03/09/2017

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

Authorized official WOLFE, SCOTT controls 20+ related entities in our dataset. Read more

$192K
Total Medicaid Paid
5,508
Total Claims
5,294
Beneficiaries
5
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOLFE, SCOTT (SVP OF FINANCE)
NPI Enumeration Date03/09/2017

Related Entities

Other providers sharing the same authorized official: WOLFE, SCOTT

ProviderCityStateTotal Paid
ST LUKES HOSPITAL BETHLEHEM PA $20.74M
ST. LUKE'S HOSPITAL MONROE CAMPUS STROUDSBURG PA $11.88M
ST LUKES HOSPITAL-ANDERSON CAMPUS EASTON PA $8.47M
ST LUKES EMERGENCY & TRANSPORT SERVICES, INC QUAKERTOWN PA $4.32M
ST LUKES QUAKERTOWN HOSPITAL QUAKERTOWN PA $3.56M
ST. LUKE'S HOSPITAL GRAND VIEW CAMPUS SELLERSVILLE PA $2.45M
ST. LUKE'S HOSPITAL-CARBON CAMPUS LEHIGHTON PA $1.36M
ST. LUKE'S HOSPITAL BETHLEHEM LEHIGHTON PA $707K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. HAZLE TOWNSHIP PA $307K
ST. LUKE'S HOSPITAL MONROE CAMPUS BRODHEADSVILLE PA $263K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. TAMAQUA PA $248K
CARBON - SCHUYLKILL COMMUNITY HOSPITAL INC MAHANOY CITY PA $221K
ST. LUKE'S HOSPITAL MONROE CAMPUS POCONO SUMMIT PA $211K
ST. LUKE'S PHYSICIAN GROUP, INC ALLENTOWN PA $173K
ST. LUKE'S HOSPITAL HAMBURG PA $126K
ST LUKE HOSPITAL PALMERTON PA $122K
ST. LUKE'S HOSPITAL MONROE CAMPUS EAST STROUDSBURG PA $105K
ST. LUKE'S HOSPITAL WHITEHALL PA $85K
ST. LUKE'S HOSPTIAL WIND GAP PA $67K
ST. LUKE'S HOSPITAL JIM THORPE PA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51 $2K
2019 29 $2K
2020 130 $5K
2021 898 $26K
2022 1,033 $31K
2023 1,274 $40K
2024 2,093 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,455 3,331 $150K
S9088 Services provided in an urgent care center (list in addition to code for service) 1,962 1,872 $41K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $770.64
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 52 52 $302.40
87070 27 27 $172.50