Hospital
ST Luke's Hospital
ST Luke's Hospital was paid $638K by Medicaid between Jun 2021 and Oct 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoST LUKE'S HOSPITAL
LEHIGHTON, PA 18235
LEHIGHTON, PA 18235
33aNPI1528737988assigned 09/09/2021
33bProvider typeGeneral Acute Care Hospital
28Total paid$638K
24GClaims11,621
24DCodes billed39
24AFirst – last monthJun 2021 – Oct 2024
Compared with peers
Next to other General Acute Care Hospital providers in Pennsylvania
Rank by total paid#107 of 154
Median peer was paid$2.82M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 1,429 | $74K | |
| 2022 | 2,337 | $141K | |
| 2023 | 5,393 | $295K | |
| 2024incomplete | 2,462 | $128K |
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 | 51% | 3,984 | 3,788 | $326K |
| 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 | 13% | 726 | 712 | $80K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 11% | 1,444 | 286 | $68K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 9.0% | 534 | 526 | $57K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.8% | 136 | 127 | $18K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.1% | 169 | 161 | $13K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.0% | 66 | 64 | $13K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.5% | 249 | 117 | $10K |
| 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% | 85 | 81 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,277 | 1,244 | $8K |
| 99050 | 1.1% | 66 | 63 | $7K | |
| 87070 | <1% | 942 | 926 | $6K |
27 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 49 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 302 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 225 | $3K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 253 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 37 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 30 | $766.92 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 56 | $736.66 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 60 | $598.59 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 58 | $574.00 |
| 81002 | <1% | 137 | $451.73 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 60 | $444.24 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 33 | $364.52 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $196.02 |
| 80061 | Lipid panel | <1% | 12 | $181.72 |
| 85610 | <1% | 32 | $146.32 | |
| 85730 | <1% | 16 | $141.60 | |
| 73630 | <1% | 14 | $127.77 | |
| 81003 | <1% | 28 | $102.48 | |
| 71045 | Radiologic examination, chest; single view | <1% | 12 | $95.70 |
| 83690 | <1% | 16 | $94.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 52 | $32.56 |
| 87147 | <1% | 12 | $31.20 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 24 | $3.20 |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 278 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 106 | $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 officialBOTEK, FRANCINE (SENIOR VP EXEC ADMIN)
| Provider | Location | Paid |
|---|---|---|
| ST. Luke's Hospital- Easton Campus | Easton, PA | $8.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.