Physician
ST. Joseph Regional Health Network
ST. Joseph Regional Health Network was paid $907K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoST. JOSEPH REGIONAL HEALTH NETWORK
READING, PA 19601
READING, PA 19601
33aNPI1396786414assigned 06/09/2006
33bProvider typeInternal Medicine Physician
28Total paid$907K
24GClaims15,278
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#30 of 1,726
Median peer was paid$6K
This provider vs. median140×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,524 | $12K | |
| 2019 | 253 | $5K | |
| 2020 | 641 | $27K | |
| 2021 | 3,677 | $190K | |
| 2022 | 3,224 | $210K | |
| 2023 | 3,018 | $242K | |
| 2024incomplete | 2,941 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 69% | 11,391 | 11,045 | $625K |
| 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 | 30% | 2,965 | 2,916 | $270K |
| 90686 | <1% | 574 | 567 | $3K | |
| 99442 | <1% | 36 | 34 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 14 | $1K |
| 90461 | <1% | 38 | 29 | $1K | |
| 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% | 12 | 12 | $961.44 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 79 | 76 | $908.92 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 56 | 54 | $747.06 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 52 | 52 | $662.44 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 18 | 13 | $435.53 |
| 90715 | <1% | 43 | 41 | $182.90 |
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 officialCHABALOWSKI, EDWARD (VP FINANCE/CFO)
| Provider | Location | Paid |
|---|---|---|
| ST Joseph Regional Health Network | Reading, PA | $27.79M |
| ST. Joseph Medical Group | Reading, PA | $7.20M |
| ST Joseph Regional Health Network | Temple, PA | $1.02M |
| ST Joseph Regional Health Network | Strausstown, PA | $236K |
| ST. Joseph Regional Health Network | Blandon, PA | $96K |
| ST. Joseph Regional Health Network | Reading, PA | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.