Medicaid Provider Spending

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

ST. LUKE'S PHYSICIAN GROUP, INC.

NPI: 1649836057 · QUAKERTOWN, PA 18951 · Pediatrics Physician · NPI assigned 05/13/2019

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

Authorized official EVANS, DEAN controls 20+ related entities in our dataset. Read more

$260K
Total Medicaid Paid
7,246
Total Claims
6,844
Beneficiaries
23
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEVANS, DEAN (PRESIDENT)
Parent OrganizationST. LUKE'S PHYSICIAN GROUP, INC.
NPI Enumeration Date05/13/2019

Related Entities

Other providers sharing the same authorized official: EVANS, DEAN

ProviderCityStateTotal Paid
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, INC STROUDSBURG 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 GROUP PALMERTON 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 65 $2K
2021 79 $959.18
2022 1,851 $68K
2023 2,450 $95K
2024 2,801 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,906 1,719 $77K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,299 1,213 $76K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 668 666 $35K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 703 676 $32K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 381 360 $21K
90460 Immunization administration through 18 years of age via any route, first or only component 217 196 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 292 268 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 39 $2K
90698 345 345 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 163 157 $2K
90670 196 196 $1K
90677 106 105 $1K
96161 302 286 $836.45
90686 231 230 $720.39
90680 105 105 $686.00
99499 14 14 $395.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $387.56
90744 44 44 $370.50
96127 100 97 $349.29
90656 27 27 $202.00
90461 29 28 $140.19
90633 39 39 $90.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 20 $0.00