Medicaid Provider Spending

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

ST LUKES QUAKERTOWN HOSPITAL

NPI: 1669405072 · QUAKERTOWN, PA 18951 · Psychiatric Hospital Unit · NPI assigned 07/09/2006

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

Authorized official WOLFE, SCOTT controls 20+ related entities in our dataset. Read more

$3.56M
Total Medicaid Paid
49,088
Total Claims
41,764
Beneficiaries
75
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWOLFE, SCOTT (SENIOR VP FINANCE)
NPI Enumeration Date07/09/2006

Related Entities

Other providers sharing the same authorized official: WOLFE, SCOTT

ProviderCityStateTotal Paid
ST LUKES HOSPITAL BETHLEHEM PA $20.74M
ST. LUKE'S HOSPITAL MONROE CAMPUS STROUDSBURG PA $11.88M
ST LUKES HOSPITAL-ANDERSON CAMPUS EASTON PA $8.47M
ST LUKES EMERGENCY & TRANSPORT SERVICES, INC QUAKERTOWN PA $4.32M
ST. LUKE'S HOSPITAL GRAND VIEW CAMPUS SELLERSVILLE PA $2.45M
ST. LUKE'S HOSPITAL-CARBON CAMPUS LEHIGHTON PA $1.36M
ST. LUKE'S HOSPITAL BETHLEHEM LEHIGHTON PA $707K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. HAZLE TOWNSHIP PA $307K
ST. LUKE'S HOSPITAL MONROE CAMPUS BRODHEADSVILLE PA $263K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. TAMAQUA PA $248K
CARBON - SCHUYLKILL COMMUNITY HOSPITAL INC MAHANOY CITY PA $221K
ST. LUKE'S HOSPITAL MONROE CAMPUS POCONO SUMMIT PA $211K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. LEHIGHTON PA $192K
ST. LUKE'S PHYSICIAN GROUP, INC ALLENTOWN PA $173K
ST. LUKE'S HOSPITAL HAMBURG PA $126K
ST LUKE HOSPITAL PALMERTON PA $122K
ST. LUKE'S HOSPITAL MONROE CAMPUS EAST STROUDSBURG PA $105K
ST. LUKE'S HOSPITAL WHITEHALL PA $85K
ST. LUKE'S HOSPTIAL WIND GAP PA $67K
ST. LUKE'S HOSPITAL JIM THORPE PA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,656 $223K
2021 17,102 $1.01M
2022 6,962 $716K
2023 10,325 $906K
2024 10,043 $703K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,939 14,243 $2.11M
99284 Emergency department visit for the evaluation and management, high severity 5,548 5,356 $679K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,892 1,812 $228K
T1015 Clinic visit/encounter, all-inclusive 6,370 1,830 $211K
G0378 Hospital observation service, per hour 119 106 $94K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 717 677 $31K
99282 Emergency department visit for the evaluation and management, low to moderate severity 293 283 $30K
74177 Computed tomography, abdomen and pelvis; with contrast material 213 200 $24K
X0620 83 66 $24K
77067 Screening mammography, bilateral, including computer-aided detection 177 173 $14K
80053 Comprehensive metabolic panel 2,462 2,324 $13K
97162 195 175 $13K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 256 237 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,204 3,004 $9K
S9083 Global fee urgent care centers 73 72 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 98 96 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 167 159 $6K
97161 84 84 $6K
70450 Computed tomography, head or brain; without contrast material 197 186 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 899 838 $4K
77063 Screening digital breast tomosynthesis, bilateral 176 172 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 121 56 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 109 103 $3K
73564 149 126 $2K
73630 259 227 $2K
73610 167 160 $2K
71046 Radiologic examination, chest; 2 views 232 227 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 30 30 $2K
73030 131 118 $1K
80048 Basic metabolic panel (calcium, ionized) 277 248 $1K
84484 358 327 $1K
71045 Radiologic examination, chest; single view 357 339 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 242 221 $908.85
84443 Thyroid stimulating hormone (TSH) 98 95 $848.50
36415 Collection of venous blood by venipuncture 858 759 $788.70
85610 310 257 $719.28
83690 267 246 $691.60
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $572.35
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 78 75 $536.99
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 57 54 $520.59
71250 12 12 $477.73
73130 49 43 $455.61
81001 304 284 $440.69
85730 157 150 $414.40
73502 25 24 $377.99
72050 12 12 $309.11
74176 Computed tomography, abdomen and pelvis; without contrast material 12 12 $216.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 13 $210.40
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,226 1,148 $187.62
85027 29 28 $133.47
80061 Lipid panel 15 13 $123.51
87086 Culture, bacterial; quantitative colony count, urine 37 36 $123.28
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 101 93 $100.00
J7030 Infusion, normal saline solution , 1000 cc 98 83 $89.81
83735 41 40 $83.71
81003 70 67 $81.80
82948 93 80 $81.04
J1885 Injection, ketorolac tromethamine, per 15 mg 1,636 1,395 $54.28
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,088 953 $15.12
82077 15 14 $10.53
81025 39 38 $2.77
J3010 Injection, fentanyl citrate, 0.1 mg 237 202 $2.01
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 48 40 $0.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg 399 341 $0.00
J2060 Injection, lorazepam, 2 mg 38 27 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 125 119 $0.00
J2704 Injection, propofol, 10 mg 260 196 $0.00
J0690 Injection, cefazolin sodium, 500 mg 32 31 $0.00
J1170 Injection, hydromorphone, up to 4 mg 72 52 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 20 18 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 131 109 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 194 168 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 156 125 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $0.00