Medicaid Provider Spending

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

ST. LUKE'S PHYSICIAN GROUP INC

NPI: 1619504503 · EASTON, PA 18045 · Family Medicine Physician · NPI assigned 03/23/2020

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

Authorized official CHIAVAROLI, SUE controls 20+ related entities in our dataset. Read more

$361K
Total Medicaid Paid
9,201
Total Claims
8,693
Beneficiaries
25
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHIAVAROLI, SUE (CVO SUPERVISOR)
NPI Enumeration Date03/23/2020

Related Entities

Other providers sharing the same authorized official: CHIAVAROLI, SUE

ProviderCityStateTotal Paid
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $6.08M
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $2.30M
GSLPG, INC ORWIGSBURG PA $1.78M
ST. LUKE'S PHYSICIAN GROUP, INC. FOUNTAIN HILL PA $1.57M
ST LUKE'S PHYSICIAN GROUP INC BETHLEHEM PA $1.42M
ST. LUKE'S PHYSICIAN GROUP, INC. FOUNTAIN HILL PA $1.10M
ST LUKE'S PHYSICIAN GROUP INC ALLENTOWN PA $865K
ST. LUKE'S PHYSICIAN GROUP, INC. EASTON PA $605K
ST. LUKE'S PHYSICIAN GROUP, INC STROUDSBURG PA $523K
ST. LUKE'S PHYSICIAN GROUP, INC. CENTER VALLEY PA $489K
ST. LUKE'S PHYSICIAN GROUP, INC. BOWMANSTOWN PA $367K
ST. LUKE'S PHYSICIAN GROUP INC NORTHAMPTON PA $267K
ST. LUKE'S PHYSICIAN GROUP, INC. CENTER VALLEY PA $262K
ST LUKE'S PHYSICIAN GROUP INC BETHLEHEM PA $256K
ST. LUKE'S PHYSICIAN GROUP, INC EASTON PA $251K
ST. LUKE'S PHYSICIAN GROUP, INC. PALMERTON PA $242K
ST. LUKE'S WARREN PHYSICIAN GROUP, PC PHILLIPSBURG NJ $216K
ST. LUKE'S PHYSICIAN GROUP INC BETHLEHEM PA $211K
ST. LUKE'S PHYSICIAN GROUP, INC. ALLENTOWN PA $186K
GSLPG INC ORWIGSBURG PA $173K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 497 $14K
2021 2,243 $66K
2022 2,225 $87K
2023 2,412 $106K
2024 1,824 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,224 4,969 $255K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,185 2,077 $69K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 218 218 $14K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 123 123 $8K
99215 Prolong outpt/office vis 71 69 $5K
99499 165 158 $3K
90686 366 360 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 38 38 $814.00
90460 Immunization administration through 18 years of age via any route, first or only component 26 26 $611.67
90715 85 85 $478.75
90698 70 69 $281.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 38 34 $263.85
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $248.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 26 26 $199.25
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 12 12 $145.02
90670 24 24 $110.00
90710 27 27 $110.00
92551 13 13 $108.80
3725F 41 40 $0.00
1036F 131 96 $0.00
3008F 250 161 $0.00
90696 12 12 $0.00
90619 12 12 $0.00
90651 19 19 $0.00