Physician
ST. Luke's Physician Group, INC.
ST. Luke's Physician Group, INC. was paid $38K by Medicaid between Apr 2021 and Sep 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
FOUNTAIN HILL, PA 18015
FOUNTAIN HILL, PA 18015
33aNPI1689716375assigned 02/12/2007
33bProvider typeSurgical Critical Care Physician
28Total paid$38K
24GClaims1,477
24DCodes billed7
24AFirst – last monthApr 2021 – Sep 2023
Compared with peers
Next to other Surgical Critical Care Physician providers in Pennsylvania
Rank by total paid#4 of 17
Median peer was paid$2K
This provider vs. median17×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 237 | $5K | |
| 2022 | 690 | $17K | |
| 2023 | 550 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 59% | 845 | 661 | $22K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 24% | 415 | 285 | $9K |
| 97597 | 11% | 159 | 122 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.7% | 12 | 12 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 19 | 12 | $791.37 |
| 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 | 1.3% | 12 | 12 | $502.25 |
| 99024 | 0% | 15 | 12 | $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 officialGIGLIO, TAMI (ENROLLMENT SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| ST. Luke's Physician Group, INC | Coaldale, PA | $2K |
| ST. Luke's Physician Group, INC | Bartonsville, PA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.