Physician
Schuylkill Health System Medical Group, INC.
Schuylkill Health System Medical Group, INC. was paid $2.41M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoSCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC.
POTTSVILLE, PA 17901
POTTSVILLE, PA 17901
33aNPI1588603567assigned 06/06/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$2.41M
24GClaims78,886
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Pennsylvania
Rank by total paid#1 of 143
Median peer was paid$15K
This provider vs. median163×
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 DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 1,888 | $14K | |
| 2019 | 4,370 | $103K | |
| 2020 | 5,668 | $172K | |
| 2021 | 16,614 | $516K | |
| 2022 | 16,217 | $477K | |
| 2023 | 18,683 | $601K | |
| 2024incomplete | 15,446 | $524K |
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 | 44% | 25,525 | 22,712 | $1.07M |
| 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 | 18% | 8,826 | 8,418 | $435K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.1% | 19,105 | 15,995 | $122K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.9% | 1,647 | 1,549 | $118K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.9% | 5,672 | 5,074 | $93K |
| 76830 | Ultrasound, transvaginal | 3.4% | 996 | 959 | $81K |
| 99460 | 2.9% | 959 | 934 | $71K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 2,446 | 2,427 | $55K |
| 59025 | Fetal non-stress test | 2.2% | 3,060 | 2,224 | $52K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8% | 1,148 | 1,118 | $43K |
| 20610 | 1.4% | 817 | 616 | $33K | |
| T1001 | Nursing assessment / evaluation | 1.3% | 168 | 168 | $32K |
46 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 366 | $30K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 705 | $21K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 299 | $17K |
| 76813 | <1% | 150 | $16K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 241 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 135 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 353 | $10K |
| 93000 | <1% | 597 | $9K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 12 | $9K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 26 | $8K |
| 90686 | <1% | 714 | $6K | |
| 99462 | <1% | 282 | $6K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 451 | $6K |
| 90715 | <1% | 750 | $5K | |
| 99464 | <1% | 102 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 199 | $4K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 216 | $4K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 52 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 247 | $3K |
| 81025 | <1% | 584 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $2K |
| 99442 | <1% | 98 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 549 | $1K |
| 93296 | <1% | 103 | $1K | |
| 54150 | <1% | 12 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 53 | $1K |
| 99310 | Prolong nursin fac eval 15m | <1% | 29 | $914.46 |
| 99441 | <1% | 103 | $874.66 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $826.58 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 51 | $722.92 |
| 90656 | <1% | 147 | $430.50 | |
| 99385 | <1% | 14 | $324.60 | |
| G0008 | Administration of influenza virus vaccine | <1% | 46 | $230.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 400 | $183.21 |
| 93018 | <1% | 13 | $175.39 | |
| 3074F | <1% | 40 | $125.00 | |
| 96127 | <1% | 25 | $108.15 | |
| 3078F | <1% | 15 | $75.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 24 | $0.00 |
| 90746 | 0% | 12 | $0.00 | |
| 91320 | 0% | 13 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 168 | $0.00 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 42 | $0.00 |
| 99318 | 0% | 12 | $0.00 | |
| 90739 | 0% | 24 | $0.00 | |
| 90677 | 0% | 14 | $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 officialDEMOPOULOS, JAMES (SR VP & COO)
| Provider | Location | Paid |
|---|---|---|
| Family Care Centers INC. | E Stroudsburg, PA | $11.08M |
| Hazleton Professional Services | Hazleton, PA | $8.26M |
| Family Care Centers INC | East Stroudsburg, PA | $6.09M |
| Schuylkill Health System Medical Group, INC. | Pottsville, PA | $1.15M |
| Lehigh Valley Physician Group | Allentown, PA | $225K |
| Lehigh Valley Physician Group | Allentown, PA | $190K |
| Lehigh Valley Physician Group | Allentown, PA | $157K |
| Lehigh Valley Physician Group | Whitehall, PA | $107K |
| Lehigh Valley Physician Group | Dickson City, PA | $17K |
| Lehigh Valley Physician Group | Allentown, PA | $15K |
| Lehigh Valley Physician Group | Bethlehem, PA | $7K |
| Lehigh Valley Physician Group | Allentown, PA | $6K |
| Lehigh Valley Physician Group | Scranton, PA | $4K |
| Lehigh Valley Physician Group | Bethlehem, PA | $479.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.