Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. LUKE'S HOSPITAL GRAND VIEW CAMPUS

NPI: 1568459287 · SELLERSVILLE, PA 18960 · Ambulatory Surgical Clinic/Center · NPI assigned 09/29/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WOLFE, SCOTT controls 20+ related entities in our dataset. Read more

$2.45M
Total Medicaid Paid
26,916
Total Claims
21,659
Beneficiaries
64
Codes Billed
2019-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOLFE, SCOTT (SENIOR VP FINANCE)
NPI Enumeration Date09/29/2005

Related Entities

Other providers sharing the same authorized official: WOLFE, SCOTT

ProviderCityStateTotal Paid
ST LUKES HOSPITAL BETHLEHEM PA $20.74M
ST. LUKE'S HOSPITAL MONROE CAMPUS STROUDSBURG PA $11.88M
ST LUKES HOSPITAL-ANDERSON CAMPUS EASTON PA $8.47M
ST LUKES EMERGENCY & TRANSPORT SERVICES, INC QUAKERTOWN PA $4.32M
ST LUKES QUAKERTOWN HOSPITAL QUAKERTOWN PA $3.56M
ST. LUKE'S HOSPITAL-CARBON CAMPUS LEHIGHTON PA $1.36M
ST. LUKE'S HOSPITAL BETHLEHEM LEHIGHTON PA $707K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. HAZLE TOWNSHIP PA $307K
ST. LUKE'S HOSPITAL MONROE CAMPUS BRODHEADSVILLE PA $263K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. TAMAQUA PA $248K
CARBON - SCHUYLKILL COMMUNITY HOSPITAL INC MAHANOY CITY PA $221K
ST. LUKE'S HOSPITAL MONROE CAMPUS POCONO SUMMIT PA $211K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. LEHIGHTON PA $192K
ST. LUKE'S PHYSICIAN GROUP, INC ALLENTOWN PA $173K
ST. LUKE'S HOSPITAL HAMBURG PA $126K
ST LUKE HOSPITAL PALMERTON PA $122K
ST. LUKE'S HOSPITAL MONROE CAMPUS EAST STROUDSBURG PA $105K
ST. LUKE'S HOSPITAL WHITEHALL PA $85K
ST. LUKE'S HOSPTIAL WIND GAP PA $67K
ST. LUKE'S HOSPITAL JIM THORPE PA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 43 $2K
2020 6,321 $298K
2021 14,053 $1.20M
2022 2,998 $545K
2023 2,059 $293K
2024 1,442 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,629 4,464 $807K
99284 Emergency department visit for the evaluation and management, high severity 3,605 3,459 $638K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,696 1,605 $449K
G0378 Hospital observation service, per hour 261 217 $236K
77067 Screening mammography, bilateral, including computer-aided detection 469 461 $44K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,184 588 $38K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,128 338 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 297 217 $18K
76830 Ultrasound, transvaginal 307 302 $16K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 179 178 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 53 25 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 345 339 $12K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 556 212 $12K
77063 Screening digital breast tomosynthesis, bilateral 465 457 $11K
97010 828 258 $10K
0002A 148 143 $7K
97161 96 92 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material 55 53 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 38 37 $5K
71046 Radiologic examination, chest; 2 views 401 382 $5K
76642 106 104 $5K
0001A 155 155 $5K
70450 Computed tomography, head or brain; without contrast material 173 164 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13 13 $4K
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 124 119 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 156 119 $4K
59025 Fetal non-stress test 574 231 $3K
76801 73 72 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,070 909 $3K
80053 Comprehensive metabolic panel 666 603 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 264 241 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 535 485 $2K
76536 39 37 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 33 32 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 76 64 $2K
0031A 40 40 $2K
71250 24 24 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 238 213 $2K
77080 26 25 $2K
76775 27 27 $1K
J7030 Infusion, normal saline solution , 1000 cc 1,704 1,507 $956.58
73630 56 40 $695.88
80048 Basic metabolic panel (calcium, ionized) 236 196 $675.37
71045 Radiologic examination, chest; single view 172 159 $620.83
81000 295 271 $552.06
73030 32 30 $473.70
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 42 41 $342.57
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $336.41
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 17 17 $312.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 13 13 $263.87
96375 Therapeutic injection; each additional sequential IV push 32 31 $252.13
36415 Collection of venous blood by venipuncture 1,285 1,085 $222.45
73610 12 12 $178.76
85730 103 97 $163.52
85610 124 114 $162.04
87088 33 30 $144.80
82947 95 71 $133.58
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 74 72 $90.14
84484 33 26 $78.96
81025 36 34 $20.60
J7060 5% dextrose/water (500 ml = 1 unit) 15 14 $0.10
J3490 Unclassified drugs 33 26 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 262 214 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 48 43 $0.00