Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST. Luke's Physician Group, INC

ST. Luke's Physician Group, INC was paid $89K by Medicaid between Jun 2018 and Sep 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC
NESQUEHONING, PA 18240
33aNPI1497152037assigned 11/25/2014
28Total paid$89K
24GClaims2,730
24DCodes billed9
24AFirst – last monthJun 2018 – Sep 2024
Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#214 of 1,726
Median peer was paid$6K
This provider vs. median14×

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

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
201841$0.00
201912$383.20
202098$2K
2021604$17K
2022617$23K
2023801$27K
2024incomplete557$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 62% 1,324 1,273 $55K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 709 677 $23K
99499 7.4% 426 396 $7K
90686 1.6% 103 103 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.4% 15 14 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 68 67 $772.66
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 47 47 $734.14
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 26 14 $280.38
90734 <1% 12 12 $112.00

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 officialEVANS, DEAN (PRESIDENT)
Same official

Other billing entities under EVANS, DEAN

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