Medicaid Provider Spending

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

ST. LUKE'S PHYSICIAN GROUP, INC

NPI: 1679972376 · STROUDSBURG, PA 18360 · Family Medicine Physician · NPI assigned 08/19/2014

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

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

$523K
Total Medicaid Paid
14,405
Total Claims
13,637
Beneficiaries
14
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHIAVAROLI, SUE (CVO SUPERVISOR)
NPI Enumeration Date08/19/2014

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. FOUNTAIN HILL PA $1.57M
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. 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
2019 16 $713.19
2020 444 $16K
2021 3,880 $115K
2022 4,455 $147K
2023 3,293 $136K
2024 2,317 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,752 7,317 $379K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,844 3,567 $124K
99499 370 344 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 262 261 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 183 183 $4K
90682 49 48 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 172 164 $1K
90686 110 110 $802.51
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $156.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13 13 $138.94
3008F 665 654 $0.00
1036F 404 398 $0.00
3725F 555 552 $0.00