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

ST. Luke's Hospital

ST. Luke's Hospital was paid $23.43M by Medicaid between Jan 2018 and Dec 2024, across 251 billing codes. Its largest line is 99283, emergency room visit (moderate) — 26% of everything it billed.

33Billing provider infoST. LUKE'S HOSPITAL
ALLENTOWN, PA 18104
33aNPI1548293954assigned 07/09/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$23.43M
24GClaims467,382
24DCodes billed251
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#12 of 154
Median peer was paid$2.82M
This provider vs. median8.3×

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

$0$250K$500K$750K2018201920202021202220232024
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
201868$17K
20197,915$431K
202045,534$2.10M
2021161,068$7.31M
202282,352$4.55M
202394,319$5.02M
2024incomplete76,126$4.01M
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 26% 43,704 42,218 $6.12M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 26,237 25,401 $4.17M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 7.9% 52,420 13,877 $1.85M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.6% 22,809 21,866 $1.78M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.1% 9,306 8,991 $1.67M
99050 4.2% 9,837 9,342 $978K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4.1% 8,843 8,727 $963K
G0378 Hospital observation service, per hour 4.0% 1,078 929 $930K
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 2.5% 7,345 7,093 $575K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.1% 9,478 9,308 $498K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.1% 2,826 2,748 $487K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.7% 4,038 4,038 $403K
239 more codes
80053 Comprehensive metabolic panel <1% 20,041 $202K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,017 $176K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 29,425 $152K
S9083 Global fee urgent care centers <1% 1,262 $133K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15,052 $125K
80050 General health panel <1% 2,871 $124K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 399 $110K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 543 $107K
X0616 <1% 376 $76K
X0620 <1% 392 $75K
80061 Lipid panel <1% 4,798 $64K
97161 <1% 893 $62K
80048 Basic metabolic panel (calcium, ionized) <1% 7,754 $61K
70450 Computed tomography, head or brain; without contrast material <1% 929 $57K
97162 <1% 782 $53K
71275 Computed tomographic angiography, chest, with contrast material <1% 290 $50K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 858 $48K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,541 $44K
87631 <1% 316 $44K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 519 $43K
71046 Radiologic examination, chest; 2 views <1% 4,006 $42K
81001 <1% 13,961 $41K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 2,881 $41K
77067 Screening mammography, bilateral, including computer-aided detection <1% 426 $37K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 411 $35K
83690 <1% 8,019 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,218 $35K
84443 Thyroid stimulating hormone (TSH) <1% 1,669 $34K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 115 $28K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,572 $27K
87070 <1% 3,715 $26K
95811 <1% 42 $22K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 975 $21K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 973 $21K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 488 $20K
71045 Radiologic examination, chest; single view <1% 3,806 $20K
80081 <1% 240 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 271 $19K
83735 <1% 2,744 $18K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 629 $17K
72125 Computed tomography, cervical spine; without contrast material <1% 249 $16K
93971 <1% 269 $16K
84484 <1% 2,075 $15K
97164 <1% 407 $15K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 379 $14K
84702 <1% 842 $13K
80076 <1% 1,633 $13K
73564 <1% 732 $12K
97163 <1% 200 $12K
83880 <1% 480 $12K
86803 <1% 641 $12K
82728 <1% 1,010 $12K
99214 Doctor's office visit, returning patient (more involved) <1% 118 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 1,661 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 358 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 515 $11K
82607 <1% 983 $10K
J1756 Injection, iron sucrose, 1 mg <1% 2,190 $10K
84439 <1% 1,253 $10K
73610 <1% 642 $10K
77063 Screening digital breast tomosynthesis, bilateral <1% 421 $9K
76770 <1% 233 $9K
99204 Doctor's office visit, new patient (more involved) <1% 70 $9K
83970 <1% 227 $8K
73630 <1% 820 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 269 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 217 $8K
71250 <1% 143 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 54 $8K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 105 $7K
81003 <1% 2,392 $7K
85027 <1% 1,094 $7K
76536 <1% 144 $7K
73030 <1% 550 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 33 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 27 $6K
73502 <1% 370 $6K
83540 <1% 779 $6K
72100 <1% 371 $6K
84153 <1% 261 $6K
82570 <1% 818 $6K
96367 <1% 289 $6K
90715 <1% 541 $6K
93970 <1% 70 $6K
86003 <1% 45 $5K
85610 <1% 1,693 $5K
85730 <1% 1,012 $5K
73130 <1% 560 $5K
85379 <1% 565 $5K
81002 <1% 1,500 $5K
82784 <1% 252 $5K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 160 $5K
86480 <1% 70 $5K
73562 <1% 339 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 128 $4K
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% 82 $4K
70496 <1% 28 $4K
73110 <1% 422 $4K
86618 <1% 173 $4K
87340 <1% 284 $4K
86038 <1% 270 $4K
70486 <1% 59 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $4K
87186 <1% 537 $4K
82043 <1% 488 $4K
87077 <1% 549 $4K
87040 <1% 212 $3K
83550 <1% 696 $3K
72110 <1% 176 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 360 $3K
70551 Magnetic resonance imaging, brain; without contrast material <1% 16 $3K
86850 <1% 400 $3K
93017 <1% 86 $3K
76801 <1% 102 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,397 $3K
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% 1,064 $3K
86140 <1% 915 $3K
83605 <1% 415 $3K
97167 <1% 39 $3K
84403 <1% 95 $3K
70498 <1% 16 $2K
84146 <1% 99 $2K
85652 <1% 752 $2K
82746 <1% 238 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 253 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 19,281 $2K
86255 <1% 122 $2K
73560 <1% 164 $2K
86901 <1% 511 $2K
86800 <1% 103 $2K
86900 <1% 511 $2K
82550 <1% 298 $2K
86592 <1% 464 $2K
76870 <1% 44 $2K
36415 Collection of venous blood by venipuncture <1% 2,148 $2K
73590 <1% 146 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 29 $2K
83001 <1% 93 $2K
82948 <1% 775 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 112 $1K
J3490 Unclassified drugs <1% 1,664 $1K
87147 <1% 305 $1K
84402 <1% 53 $1K
73080 <1% 161 $1K
86430 <1% 185 $1K
87430 <1% 199 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 25 $1K
84156 <1% 306 $1K
73140 <1% 171 $1K
72040 <1% 83 $1K
82950 <1% 161 $1K
84703 <1% 108 $1K
J2704 Injection, propofol, 10 mg <1% 6,382 $995.42
86376 <1% 124 $994.99
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 426 $993.50
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 13 $965.44
84550 <1% 157 $947.26
81025 <1% 703 $933.44
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,364 $930.14
74018 <1% 88 $920.14
72050 <1% 43 $918.07
82247 <1% 127 $910.33
94729 <1% 39 $882.83
83002 <1% 55 $866.66
93880 <1% 14 $856.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,491 $846.90
84144 <1% 54 $829.26
82805 <1% 25 $792.74
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $792.00
86200 <1% 59 $787.32
94726 <1% 38 $775.92
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 14 $767.67
96375 Therapeutic injection; each additional sequential IV push <1% 85 $729.69
84100 <1% 140 $710.26
J1040 Injection, methylprednisolone acetate, 80 mg <1% 158 $706.14
85007 <1% 208 $670.36
84481 <1% 29 $636.66
82785 <1% 40 $614.25
97168 <1% 17 $583.92
93923 <1% 12 $583.42
86706 <1% 43 $575.13
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,974 $564.37
86235 <1% 12 $558.00
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,997 $534.08
86704 <1% 38 $533.23
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 18 $505.26
J3360 Injection, diazepam, up to 5 mg <1% 269 $495.89
83615 <1% 67 $471.07
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 897 $416.88
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,121 $373.10
J7050 Infusion, normal saline solution, 250 cc <1% 626 $350.38
80143 <1% 12 $314.34
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,600 $309.61
82553 <1% 31 $290.82
93226 <1% 13 $286.26
73090 <1% 32 $264.80
82105 <1% 13 $247.52
84145 <1% 16 $222.10
87205 <1% 46 $207.72
J1170 Injection, hydromorphone, up to 4 mg <1% 1,329 $207.54
76830 Ultrasound, transvaginal <1% 12 $176.92
82670 <1% 12 $176.30
94010 <1% 30 $163.59
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 15 $162.80
71101 <1% 16 $149.15
83655 <1% 13 $142.00
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,082 $141.28
83525 <1% 12 $138.60
83020 <1% 13 $138.60
93225 <1% 13 $131.40
80069 <1% 12 $120.57
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,360 $116.33
82077 <1% 67 $109.89
80179 <1% 12 $108.57
J0690 Injection, cefazolin sodium, 500 mg <1% 1,571 $102.40
84425 <1% 13 $91.94
J1630 Injection, haloperidol, up to 5 mg <1% 506 $85.36
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 19 $74.44
J2060 Injection, lorazepam, 2 mg <1% 976 $69.73
99152 <1% 13 $59.40
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 61 $56.71
OP250 <1% 45 $22.89
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,394 $20.77
J7120 Ringers lactate infusion, up to 1000 cc <1% 31 $20.54
J1644 Injection, heparin sodium, per 1000 units <1% 215 $7.68
94760 <1% 12 $0.35
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 167 $0.11
J1010 Injection, methylprednisolone acetate, 1 mg 0% 12 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 72 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 188 $0.00
96361 Intravenous infusion, hydration; each additional hour 0% 13 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 28 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 53 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 1,040 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 56 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 49 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 134 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 33 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 0% 85 $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 officialROSKO, ANDREA (EXECUTIVE DIRECTOR, SLPHO)
Same official

Other billing entities under ROSKO, ANDREA

Full network →
ProviderLocationPaid
The Carbon-Schuylkill Community Hospital, INC.Coaldale, PA$8.59M
The Carbon-Schuylkill Community Hospital, INC.Nesquehoning, PA$433K
ST. Luke's HospitalBethlehem, PA$3K

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