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

ST. Luke's Hospital Grand View Campus

ST. Luke's Hospital Grand View Campus was paid $2.45M by Medicaid between Nov 2019 and Nov 2024, across 64 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider infoST. LUKE'S HOSPITAL GRAND VIEW CAMPUS
SELLERSVILLE, PA 18960
33aNPI1568459287assigned 09/29/2005
28Total paid$2.45M
24GClaims26,916
24DCodes billed64
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania

Rank by total paid#9 of 119
Median peer was paid$57K
This provider vs. median43×

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

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201943$2K
20206,321$298K
202114,053$1.20M
20222,998$545K
20232,059$293K
2024incomplete1,442$112K
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 33% 4,629 4,464 $807K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 26% 3,605 3,459 $638K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 18% 1,696 1,605 $449K
G0378 Hospital observation service, per hour 9.7% 261 217 $236K
77067 Screening mammography, bilateral, including computer-aided detection 1.8% 469 461 $44K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.5% 2,184 588 $38K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.3% 1,128 338 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 297 217 $18K
76830 Ultrasound, transvaginal <1% 307 302 $16K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 179 178 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 53 25 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 345 339 $12K
52 more codes
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 556 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 465 $11K
97010 <1% 828 $10K
0002A <1% 148 $7K
97161 <1% 96 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 55 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 38 $5K
71046 Radiologic examination, chest; 2 views <1% 401 $5K
76642 <1% 106 $5K
0001A <1% 155 $5K
70450 Computed tomography, head or brain; without contrast material <1% 173 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 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 <1% 124 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 156 $4K
59025 Fetal non-stress test <1% 574 $3K
76801 <1% 73 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,070 $3K
80053 Comprehensive metabolic panel <1% 666 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 264 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 535 $2K
76536 <1% 39 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 33 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 76 $2K
0031A <1% 40 $2K
71250 <1% 24 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 238 $2K
77080 <1% 26 $2K
76775 <1% 27 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,704 $956.58
73630 <1% 56 $695.88
80048 Basic metabolic panel (calcium, ionized) <1% 236 $675.37
71045 Radiologic examination, chest; single view <1% 172 $620.83
81000 <1% 295 $552.06
73030 <1% 32 $473.70
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 42 $342.57
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 12 $336.41
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 17 $312.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 13 $263.87
96375 Therapeutic injection; each additional sequential IV push <1% 32 $252.13
36415 Collection of venous blood by venipuncture <1% 1,285 $222.45
73610 <1% 12 $178.76
85730 <1% 103 $163.52
85610 <1% 124 $162.04
87088 <1% 33 $144.80
82947 <1% 95 $133.58
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 74 $90.14
84484 <1% 33 $78.96
81025 <1% 36 $20.60
J7060 5% dextrose/water (500 ml = 1 unit) <1% 15 $0.10
J3490 Unclassified drugs 0% 33 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 262 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 48 $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 officialWOLFE, SCOTT (SENIOR VP FINANCE)
Same official

Other billing entities under WOLFE, SCOTT

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