ST. Luke's Warren Physician Group, PC

ST. Luke's Warren Physician Group, PC was paid $11K by Medicaid between Oct 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoST. LUKE'S WARREN PHYSICIAN GROUP, PC
PHILLIPSBURG, NJ 08865

33aNPI1518387547assigned 04/17/2014

33bProvider typePulmonary Disease Physician

28Total paid$11K

24GClaims548

24DCodes billed5

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#66 of 112

Median peer was paid$24K

This provider vs. median0.5×

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 DELMONICO, GERARD controls 13+ related entities in our dataset. Read more

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	14	$408.00
2019	12	$408.00
2020	73	$1K
2021	90	$2K
2022	91	$2K
2023	77	$1K
2024incomplete	191	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	94%	469	425	$11K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	2.9%	19	19	$329.52
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.8%	33	12	$325.18
1036F		0%	14	13	$0.00
3008F		0%	13	13	$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 officialDELMONICO, GERARD (OWNER)

Same official

Other billing entities under DELMONICO, GERARD

Full network →

Provider	Location	Paid
Hillcrest Emergency Services, PC	Phillipsburg, NJ	$710K
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$515K
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$149K
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$91K
ST. Luke's Warren Physician Group, PC	Washington, NJ	$53K
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$14K
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$5K
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$3K
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$825.22
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$561.00
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$484.04
ST. Luke's Warren Physician Group, PC	Phillipsburg, NJ	$330.00
Warren Health Care Alliance, PC	Phillipsburg, NJ	$11.00

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