Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Fountain Hill › NPI 1679820096
Physician

ST. Luke's Physician Group, INC.

ST. Luke's Physician Group, INC. was paid $1.57M by Medicaid between Aug 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
FOUNTAIN HILL, PA 18015
33aNPI1679820096assigned 08/06/2012
28Total paid$1.57M
24GClaims20,036
24DCodes billed14
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in Pennsylvania

Rank by total paid#2 of 178
Median peer was paid$6K
This provider vs. median272×

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 CHIAVAROLI, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
201824$207.78
201940$639.59
2020543$40K
20214,885$386K
20225,438$412K
20235,186$407K
2024incomplete3,920$322K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 39% 10,137 9,974 $606K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 24% 3,559 3,520 $382K
99244 Office or other outpatient consultation, moderate to high complexity 9.1% 858 855 $142K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.5% 2,744 2,700 $117K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6.0% 886 878 $94K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 4.8% 233 228 $76K
45380 Colonoscopy, flexible; with biopsy, single or multiple 4.5% 285 281 $70K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.6% 639 626 $41K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 351 244 $15K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 138 135 $11K
99243 <1% 61 59 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 25 24 $6K
2 more codes
91010 <1% 84 $1K
3008F 0% 36 $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 officialCHIAVAROLI, SUE (CVO SUPERVISOR)
Same official

Other billing entities under CHIAVAROLI, SUE

Full network →
ProviderLocationPaid
ST. Luke's Physician Group, INC.Bethlehem, PA$6.08M
ST. Luke's Physician Group, INC.Bethlehem, PA$2.30M
GSLPG, INCOrwigsburg, PA$1.78M
ST Luke's Physician Group INCBethlehem, PA$1.42M
ST. Luke's Physician Group, INC.Fountain Hill, PA$1.10M
ST Luke's Physician Group INCAllentown, PA$865K
ST. Luke's Physician Group, INC.Easton, PA$605K
ST. Luke's Physician Group, INCStroudsburg, 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 INCEaston, PA$361K
ST. Luke's Physician Group INCNorthampton, PA$267K
ST. Luke's Physician Group, INC.Center Valley, PA$262K
ST Luke's Physician Group INCBethlehem, PA$256K
ST. Luke's Physician Group, INCEaston, PA$251K
ST. Luke's Physician Group, INC.Palmerton, PA$242K
ST. Luke's Warren Physician Group, PCPhillipsburg, NJ$216K
ST. Luke's Physician Group INCBethlehem, PA$211K
ST. Luke's Physician Group, INC.Allentown, PA$186K
GSLPG INCOrwigsburg, PA$173K

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