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 $260K by Medicaid between Dec 2020 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
QUAKERTOWN, PA 18951
33aNPI1649836057assigned 05/13/2019
33bProvider typePediatrics Physician
28Total paid$260K
24GClaims7,246
24DCodes billed23
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#303 of 1,257
Median peer was paid$45K
This provider vs. median5.7×

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$10K$15K2018201920202021202220232024
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
202065$2K
202179$959.18
20221,851$68K
20232,450$95K
2024incomplete2,801$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 1,906 1,719 $77K
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 29% 1,299 1,213 $76K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 668 666 $35K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12% 703 676 $32K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.0% 381 360 $21K
90460 Immunization administration through 18 years of age via any route, first or only component 1.5% 217 196 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 292 268 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 39 39 $2K
90698 <1% 345 345 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 163 157 $2K
90670 <1% 196 196 $1K
90677 <1% 106 105 $1K
11 more codes
96161 <1% 302 $836.45
90686 <1% 231 $720.39
90680 <1% 105 $686.00
99499 <1% 14 $395.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $387.56
90744 <1% 44 $370.50
96127 <1% 100 $349.29
90656 <1% 27 $202.00
90461 <1% 29 $140.19
90633 <1% 39 $90.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 26 $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 officialEVANS, DEAN (PRESIDENT)
Parent organizationST. LUKE'S PHYSICIAN GROUP, INC.
Same official

Other billing entities under EVANS, DEAN

Full network →
ProviderLocationPaid
ST. Luke's Physician Group, INC.Bethlehem, PA$28.78M
ST. Luke's Physician Group, INC.Fountain Hill, PA$2.85M
ST. Luke's Physician Group, INC.Bethlehem, PA$1.73M
ST. Luke's Physician Group, INC.Fountain Hill, PA$1.73M
ST. Luke's Physician Group, INC.Bethlehem, PA$1.55M
ST. Luke's Physician Group, INCStroudsburg, PA$1.37M
ST. Luke's Physician Group, INC.Bethlehem, PA$1.36M
ST. Luke's Physician Group, INC.Quakertown, PA$866K
ST. Luke's Physician Group, INC.Bethlehem, PA$643K
ST. Luke's Physician Group, INC.Allentown, PA$503K
ST. Luke's Physician GroupPalmerton, PA$442K
ST. Luke's Physician Group, INC.Allentown, PA$396K
ST. Luke's Physician Group, INC.Brodheadsville, PA$357K
ST. Luke's Physician Group, INC.Lehighton, PA$301K
ST. Luke's Physician Group, INC.Bethlehem, PA$246K
ST. Luke's Physician Group, INC.Allentown, PA$229K
ST. Luke's Physician Group, INC.Bethlehem, PA$214K
ST. Luke's Physician Group, INC.Center Valley, PA$204K
ST. Luke's Physician Group, INC.Bethlehem, PA$200K
ST. Luke's Physician Group, INC.Walnutport, PA$175K

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