Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Harleysville › NPI 1386211290
Physician

ST. Luke's Physicians Group INC.

ST. Luke's Physicians Group INC. was paid $6K by Medicaid between Nov 2022 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIANS GROUP INC.
HARLEYSVILLE, PA 19438
33aNPI1386211290assigned 06/09/2021
33bProvider typePediatrics Physician
28Total paid$6K
24GClaims142
24DCodes billed4
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#934 of 1,257
Median peer was paid$45K
This provider vs. median0.1×

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.

Entity ProliferationAuthorized official CHIAVAROLI, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202213$515.00
202328$1K
2024incomplete101$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56% 87 83 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25% 29 28 $1K
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 9.8% 14 13 $588.67
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.6% 12 12 $574.18

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.

From NPPES

Who's on the registration

Authorized officialCHIAVAROLI, SUE (ENROLLMENT SUPERVISOR)
Parent organizationST. LUKE'S PHYSICIAN GROUP, INC.
Same official

Other billing entities under CHIAVAROLI, SUE

Full network →
ProviderLocationPaid
ST. Luke's Physician Group, INC.Bethlehem, PA$6.08M
ST. Luke's Physician Group, INC.Bethlehem, PA$2.30M
GSLPG, INCOrwigsburg, PA$1.78M
ST. Luke's Physician Group, INC.Fountain Hill, PA$1.57M
ST Luke's Physician Group INCBethlehem, PA$1.42M
ST. Luke's Physician Group, INC.Fountain Hill, PA$1.10M
ST Luke's Physician Group INCAllentown, PA$865K
ST. Luke's Physician Group, INC.Easton, PA$605K
ST. Luke's Physician Group, INCStroudsburg, 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 INCEaston, PA$361K
ST. Luke's Physician Group INCNorthampton, PA$267K
ST. Luke's Physician Group, INC.Center Valley, PA$262K
ST Luke's Physician Group INCBethlehem, PA$256K
ST. Luke's Physician Group, INCEaston, PA$251K
ST. Luke's Physician Group, INC.Palmerton, PA$242K
ST. Luke's Warren Physician Group, PCPhillipsburg, NJ$216K
ST. Luke's Physician Group INCBethlehem, PA$211K
ST. Luke's Physician Group, INC.Allentown, PA$186K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.