Medicaid Provider Spending

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

ST. LUKE'S HOSPITAL MONROE CAMPUS

NPI: 1396194197 · STROUDSBURG, PA 18360 · Emergency Medicine Physician · NPI assigned 06/13/2016

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

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

$11.88M
Total Medicaid Paid
273,201
Total Claims
245,620
Beneficiaries
199
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWOLFE, SCOTT (VP FINANCE)
NPI Enumeration Date06/13/2016

Related Entities

Other providers sharing the same authorized official: WOLFE, SCOTT

ProviderCityStateTotal Paid
ST LUKES HOSPITAL BETHLEHEM PA $20.74M
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
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. LEHIGHTON PA $192K
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 413 $56K
2019 3,741 $288K
2020 26,108 $1.18M
2021 90,663 $3.66M
2022 47,251 $2.14M
2023 60,705 $2.66M
2024 44,320 $1.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 25,749 24,853 $2.42M
99284 Emergency department visit for the evaluation and management, high severity 18,949 18,172 $2.30M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,255 6,905 $1.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,795 11,188 $951K
G0378 Hospital observation service, per hour 763 669 $695K
T1015 Clinic visit/encounter, all-inclusive 15,217 4,193 $574K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,969 2,878 $536K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,704 4,592 $506K
80053 Comprehensive metabolic panel 18,553 17,553 $193K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,158 3,033 $171K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 932 893 $155K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,380 1,380 $153K
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 1,768 1,724 $137K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,662 11,909 $135K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,607 3,575 $125K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,968 23,464 $124K
X0616 624 622 $120K
70450 Computed tomography, head or brain; without contrast material 963 922 $74K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 590 584 $68K
71046 Radiologic examination, chest; 2 views 3,644 3,544 $52K
74176 Computed tomography, abdomen and pelvis; without contrast material 572 555 $52K
71275 Computed tomographic angiography, chest, with contrast material 258 254 $52K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 409 290 $44K
80048 Basic metabolic panel (calcium, ionized) 4,683 4,426 $39K
80050 General health panel 903 876 $37K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 609 578 $36K
97161 526 523 $35K
S9083 Global fee urgent care centers 324 299 $35K
80061 Lipid panel 2,418 2,386 $32K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 879 809 $31K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 229 229 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 762 734 $29K
84443 Thyroid stimulating hormone (TSH) 1,301 1,266 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,127 4,013 $26K
83690 5,333 5,096 $23K
97162 346 341 $22K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,525 1,493 $21K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 80 78 $20K
87070 2,815 2,758 $20K
71045 Radiologic examination, chest; single view 2,511 2,395 $20K
84484 2,790 2,474 $19K
87631 164 161 $18K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 585 311 $18K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 70 63 $18K
72125 Computed tomography, cervical spine; without contrast material 213 200 $15K
71260 Computed tomography, thorax, diagnostic; with contrast material 201 194 $15K
76642 334 331 $14K
70496 74 72 $14K
70498 73 71 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 277 276 $12K
80076 1,558 1,514 $12K
93971 177 174 $12K
87086 Culture, bacterial; quantitative colony count, urine 1,520 1,466 $11K
77066 Tomosynthesis, mammo 120 119 $10K
84703 1,055 1,016 $10K
81001 3,934 3,782 $10K
73564 476 422 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 279 269 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 356 351 $9K
86003 45 44 $9K
71250 146 144 $9K
73610 498 464 $9K
83880 326 309 $9K
84702 523 429 $9K
88305 Level IV - Surgical pathology, gross and microscopic examination 878 842 $8K
36415 Collection of venous blood by venipuncture 4,252 3,499 $8K
77067 Screening mammography, bilateral, including computer-aided detection 86 86 $7K
83735 1,138 1,025 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 36 34 $7K
73030 463 423 $7K
86803 350 341 $6K
86618 271 269 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 285 277 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 286 278 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,518 3,329 $6K
83036 Hemoglobin; glycosylated (A1C) 913 903 $6K
83970 170 167 $6K
82728 485 467 $5K
74183 12 12 $5K
76770 117 116 $5K
85027 716 670 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 254 252 $5K
73630 441 394 $5K
87040 231 226 $5K
85610 1,323 1,172 $4K
83605 652 624 $4K
84153 190 190 $4K
85379 450 430 $4K
96367 174 113 $4K
73562 263 220 $4K
73110 311 284 $4K
85730 652 632 $4K
83540 452 435 $4K
84439 474 461 $4K
82607 270 269 $3K
72100 161 158 $3K
73130 300 262 $3K
81003 1,162 1,116 $3K
82570 473 453 $3K
73502 168 159 $3K
J1756 Injection, iron sucrose, 1 mg 1,264 593 $3K
73560 175 140 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 151 149 $2K
82805 81 71 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 13 $2K
J7030 Infusion, normal saline solution , 1000 cc 937 807 $2K
94729 86 86 $2K
82043 305 301 $2K
90715 144 142 $2K
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 42 39 $2K
77063 Screening digital breast tomosynthesis, bilateral 86 86 $2K
86038 134 130 $2K
80081 25 25 $2K
87186 267 263 $2K
82784 107 106 $2K
83550 398 386 $2K
87077 265 262 $2K
73590 112 101 $2K
72110 87 85 $2K
97165 24 24 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 143 98 $2K
88342 44 38 $2K
OP250 1,049 754 $2K
86850 230 198 $2K
78264 14 14 $1K
94727 74 74 $1K
84100 259 235 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,793 7,987 $1K
86901 342 301 $1K
81002 397 390 $1K
73080 118 112 $1K
86900 342 301 $1K
J2704 Injection, propofol, 10 mg 3,039 2,688 $1K
87340 85 82 $1K
86140 387 375 $1K
96415 51 41 $1K
74018 76 71 $992.75
87147 299 296 $977.53
85652 324 312 $888.14
82746 73 73 $883.21
85007 219 193 $859.95
77065 Tomosynthesis, mammo 12 12 $858.01
J2270 Injection, morphine sulfate, up to 10 mg 1,302 1,143 $849.13
J7120 Ringers lactate infusion, up to 1000 cc 446 383 $831.68
82785 43 42 $818.65
82948 521 441 $814.82
86480 13 13 $807.16
86592 200 200 $781.12
96375 Therapeutic injection; each additional sequential IV push 95 73 $773.90
76700 Ultrasound, abdominal, real time with image documentation; complete 15 15 $773.40
84145 47 46 $738.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,007 2,587 $576.63
81025 314 289 $553.41
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 88 69 $552.10
99281 Emergency department visit for the evaluation and management, self-limited or minor 26 24 $535.50
87430 76 76 $478.80
73140 56 54 $475.88
84156 132 120 $459.39
86255 29 29 $454.08
86235 12 12 $444.73
J1170 Injection, hydromorphone, up to 4 mg 797 611 $431.55
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $408.51
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,353 4,667 $401.75
94060 43 43 $400.19
J7050 Infusion, normal saline solution, 250 cc 589 212 $389.23
82950 51 51 $348.50
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12 12 $336.84
82550 48 45 $336.39
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,386 2,109 $309.02
84550 56 54 $303.65
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 137 130 $298.01
84481 13 12 $289.34
300 Patient transfer system <300 25 12 $288.33
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 463 389 $262.85
A9585 Injection, gadobutrol, 0.1 ml 161 155 $239.40
86430 40 37 $236.22
J2765 Injection, metoclopramide hcl, up to 10 mg 1,479 1,401 $211.67
86706 13 12 $178.45
95816 12 12 $121.79
J3475 Injection, magnesium sulfate, per 500 mg 943 835 $112.98
86704 12 12 $111.26
J0696 Injection, ceftriaxone sodium, per 250 mg 234 225 $105.78
82247 14 12 $93.84
J3010 Injection, fentanyl citrate, 0.1 mg 1,378 1,107 $90.38
J2060 Injection, lorazepam, 2 mg 531 457 $80.83
G0463 Hospital outpatient clinic visit for assessment and management of a patient 16 12 $77.33
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 37 32 $53.45
J2250 Injection, midazolam hydrochloride, per 1 mg 786 710 $16.46
J0690 Injection, cefazolin sodium, 500 mg 323 293 $6.56
J3490 Unclassified drugs 130 108 $1.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 126 111 $0.00
J1644 Injection, heparin sodium, per 1000 units 38 25 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 17 17 $0.00
J1171 Injection, hydromorphone, 0.1 mg 45 36 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 38 37 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 27 27 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 44 26 $0.00
A9270 Non-covered item or service 144 97 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 102 99 $0.00