Medicaid Provider Spending

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

ST. LUKE'S PHYSICIAN GROUP, INC.

NPI: 1679820096 · FOUNTAIN HILL, PA 18015 · Gastroenterology Physician · NPI assigned 08/06/2012

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

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

$1.57M
Total Medicaid Paid
20,036
Total Claims
19,643
Beneficiaries
14
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHIAVAROLI, SUE (CVO SUPERVISOR)
NPI Enumeration Date08/06/2012

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 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 EASTON PA $361K
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
2018 24 $207.78
2019 40 $639.59
2020 543 $40K
2021 4,885 $386K
2022 5,438 $412K
2023 5,186 $407K
2024 3,920 $322K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,137 9,974 $606K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,559 3,520 $382K
99244 Office or other outpatient consultation, moderate to high complexity 858 855 $142K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,744 2,700 $117K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 886 878 $94K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 233 228 $76K
45380 Colonoscopy, flexible; with biopsy, single or multiple 285 281 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 639 626 $41K
99232 Subsequent hospital care, per day, moderate complexity 351 244 $15K
99215 Prolong outpt/office vis 138 135 $11K
99243 61 59 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 25 24 $6K
91010 84 83 $1K
3008F 36 36 $0.00