Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Stroudsburg › NPI 1396194197
Physician

ST. Luke's Hospital Monroe Campus

ST. Luke's Hospital Monroe Campus was paid $11.88M by Medicaid between Jan 2018 and Dec 2024, across 199 billing codes. Its largest line is 99283, emergency room visit (moderate) — 20% of everything it billed.

33Billing provider infoST. LUKE'S HOSPITAL MONROE CAMPUS
STROUDSBURG, PA 18360
33aNPI1396194197assigned 06/13/2016
28Total paid$11.88M
24GClaims273,201
24DCodes billed199
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#6 of 1,211
Median peer was paid$19K
This provider vs. median610×

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 WOLFE, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
2018413$56K
20193,741$288K
202026,108$1.18M
202190,663$3.66M
202247,251$2.14M
202360,705$2.66M
2024incomplete44,320$1.91M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 20% 25,749 24,853 $2.42M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 19% 18,949 18,172 $2.30M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 10% 7,255 6,905 $1.20M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.0% 11,795 11,188 $951K
G0378 Hospital observation service, per hour 5.8% 763 669 $695K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 4.8% 15,217 4,193 $574K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.5% 2,969 2,878 $536K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4.3% 4,704 4,592 $506K
80053 Comprehensive metabolic panel 1.6% 18,553 17,553 $193K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.4% 3,158 3,033 $171K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.3% 932 893 $155K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.3% 1,380 1,380 $153K
187 more codes
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 1.2% 1,768 $137K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.1% 12,662 $135K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.1% 3,607 $125K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.0% 24,968 $124K
X0616 1.0% 624 $120K
70450 Computed tomography, head or brain; without contrast material <1% 963 $74K
99214 Doctor's office visit, returning patient (more involved) <1% 590 $68K
71046 Radiologic examination, chest; 2 views <1% 3,644 $52K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 572 $52K
71275 Computed tomographic angiography, chest, with contrast material <1% 258 $52K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 409 $44K
80048 Basic metabolic panel (calcium, ionized) <1% 4,683 $39K
80050 General health panel <1% 903 $37K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 609 $36K
97161 <1% 526 $35K
S9083 Global fee urgent care centers <1% 324 $35K
80061 Lipid panel <1% 2,418 $32K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 879 $31K
99204 Doctor's office visit, new patient (more involved) <1% 229 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 762 $29K
84443 Thyroid stimulating hormone (TSH) <1% 1,301 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,127 $26K
83690 <1% 5,333 $23K
97162 <1% 346 $22K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 1,525 $21K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 80 $20K
87070 <1% 2,815 $20K
71045 Radiologic examination, chest; single view <1% 2,511 $20K
84484 <1% 2,790 $19K
87631 <1% 164 $18K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 585 $18K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 70 $18K
72125 Computed tomography, cervical spine; without contrast material <1% 213 $15K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 201 $15K
76642 <1% 334 $14K
70496 <1% 74 $14K
70498 <1% 73 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 277 $12K
80076 <1% 1,558 $12K
93971 <1% 177 $12K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,520 $11K
77066 Tomosynthesis, mammo <1% 120 $10K
84703 <1% 1,055 $10K
81001 <1% 3,934 $10K
73564 <1% 476 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 279 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 356 $9K
86003 <1% 45 $9K
71250 <1% 146 $9K
73610 <1% 498 $9K
83880 <1% 326 $9K
84702 <1% 523 $9K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 878 $8K
36415 Collection of venous blood by venipuncture <1% 4,252 $8K
77067 Screening mammography, bilateral, including computer-aided detection <1% 86 $7K
83735 <1% 1,138 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 36 $7K
73030 <1% 463 $7K
86803 <1% 350 $6K
86618 <1% 271 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 285 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 286 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,518 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 913 $6K
83970 <1% 170 $6K
82728 <1% 485 $5K
74183 <1% 12 $5K
76770 <1% 117 $5K
85027 <1% 716 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 254 $5K
73630 <1% 441 $5K
87040 <1% 231 $5K
85610 <1% 1,323 $4K
83605 <1% 652 $4K
84153 <1% 190 $4K
85379 <1% 450 $4K
96367 <1% 174 $4K
73562 <1% 263 $4K
73110 <1% 311 $4K
85730 <1% 652 $4K
83540 <1% 452 $4K
84439 <1% 474 $4K
82607 <1% 270 $3K
72100 <1% 161 $3K
73130 <1% 300 $3K
81003 <1% 1,162 $3K
82570 <1% 473 $3K
73502 <1% 168 $3K
J1756 Injection, iron sucrose, 1 mg <1% 1,264 $3K
73560 <1% 175 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 151 $2K
82805 <1% 81 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 13 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 937 $2K
94729 <1% 86 $2K
82043 <1% 305 $2K
90715 <1% 144 $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 <1% 42 $2K
77063 Screening digital breast tomosynthesis, bilateral <1% 86 $2K
86038 <1% 134 $2K
80081 <1% 25 $2K
87186 <1% 267 $2K
82784 <1% 107 $2K
83550 <1% 398 $2K
87077 <1% 265 $2K
73590 <1% 112 $2K
72110 <1% 87 $2K
97165 <1% 24 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 143 $2K
88342 <1% 44 $2K
OP250 <1% 1,049 $2K
86850 <1% 230 $2K
78264 <1% 14 $1K
94727 <1% 74 $1K
84100 <1% 259 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,793 $1K
86901 <1% 342 $1K
81002 <1% 397 $1K
73080 <1% 118 $1K
86900 <1% 342 $1K
J2704 Injection, propofol, 10 mg <1% 3,039 $1K
87340 <1% 85 $1K
86140 <1% 387 $1K
96415 <1% 51 $1K
74018 <1% 76 $992.75
87147 <1% 299 $977.53
85652 <1% 324 $888.14
82746 <1% 73 $883.21
85007 <1% 219 $859.95
77065 Tomosynthesis, mammo <1% 12 $858.01
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,302 $849.13
J7120 Ringers lactate infusion, up to 1000 cc <1% 446 $831.68
82785 <1% 43 $818.65
82948 <1% 521 $814.82
86480 <1% 13 $807.16
86592 <1% 200 $781.12
96375 Therapeutic injection; each additional sequential IV push <1% 95 $773.90
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 15 $773.40
84145 <1% 47 $738.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,007 $576.63
81025 <1% 314 $553.41
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 88 $552.10
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 26 $535.50
87430 <1% 76 $478.80
73140 <1% 56 $475.88
84156 <1% 132 $459.39
86255 <1% 29 $454.08
86235 <1% 12 $444.73
J1170 Injection, hydromorphone, up to 4 mg <1% 797 $431.55
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 12 $408.51
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,353 $401.75
94060 <1% 43 $400.19
J7050 Infusion, normal saline solution, 250 cc <1% 589 $389.23
82950 <1% 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 <1% 12 $336.84
82550 <1% 48 $336.39
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,386 $309.02
84550 <1% 56 $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 <1% 137 $298.01
84481 <1% 13 $289.34
300 Patient transfer system <300 <1% 25 $288.33
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 463 $262.85
A9585 Injection, gadobutrol, 0.1 ml <1% 161 $239.40
86430 <1% 40 $236.22
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,479 $211.67
86706 <1% 13 $178.45
95816 <1% 12 $121.79
J3475 Injection, magnesium sulfate, per 500 mg <1% 943 $112.98
86704 <1% 12 $111.26
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 234 $105.78
82247 <1% 14 $93.84
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,378 $90.38
J2060 Injection, lorazepam, 2 mg <1% 531 $80.83
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 16 $77.33
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 37 $53.45
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 786 $16.46
J0690 Injection, cefazolin sodium, 500 mg <1% 323 $6.56
J3490 Unclassified drugs <1% 130 $1.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 126 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 38 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 0% 17 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 45 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 38 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 27 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 44 $0.00
A9270 Non-covered item or service 0% 144 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 102 $0.00

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 officialWOLFE, SCOTT (VP FINANCE)
Same official

Other billing entities under WOLFE, SCOTT

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