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

ST. Luke's Physician Group, INC

ST. Luke's Physician Group, INC was paid $137K by Medicaid between Nov 2020 and Oct 2024, across 4 billing codes. Its largest line is 95886, — 49% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC
EAST STROUDSBURG, PA 18301
33aNPI1568889806assigned 03/25/2014
33bProvider typeNeurology Physician
28Total paid$137K
24GClaims1,720
24DCodes billed4
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers

Next to other Neurology Physician providers in Pennsylvania

Rank by total paid#13 of 165
Median peer was paid$5K
This provider vs. median25×

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

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
202031$2K
2021409$24K
2022554$50K
2023540$47K
2024incomplete186$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95886 49% 596 569 $68K
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 26% 727 717 $35K
95911 20% 160 147 $28K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 237 233 $6K

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 officialEVANS, DEAN (PRESIDENT)
Same official

Other billing entities under EVANS, DEAN

Full network →

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