ST. Luke's Hospital-Carbon Campus
ST. Luke's Hospital-Carbon Campus was paid $1.36M by Medicaid between Nov 2021 and Nov 2024, across 40 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.
LEHIGHTON, PA 18235
Next to other General Acute Care Hospital providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 558 | $25K | |
| 2022 | 11,194 | $508K | |
| 2023 | 12,395 | $499K | |
| 2024incomplete | 7,875 | $333K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 38% | 4,264 | 4,154 | $515K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 30% | 4,729 | 4,661 | $408K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 18% | 1,399 | 1,364 | $248K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 4.3% | 521 | 505 | $59K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 5,173 | 5,025 | $29K |
| 80053 | Comprehensive metabolic panel | 2.1% | 2,972 | 2,869 | $29K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.6% | 1,756 | 1,674 | $22K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 583 | 553 | $22K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.2% | 37 | 37 | $16K |
| 71045 | Radiologic examination, chest; single view | <1% | 860 | 842 | $7K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 38 | 37 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 192 | 190 | $2K |
28 more codes
| 83690 | <1% | 276 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 28 | $1K |
| 83735 | <1% | 84 | $700.63 | |
| 85610 | <1% | 149 | $487.10 | |
| 80050 | General health panel | <1% | 12 | $462.60 |
| 85730 | <1% | 71 | $383.53 | |
| 84484 | <1% | 12 | $116.85 | |
| 81001 | <1% | 28 | $69.70 | |
| 81003 | <1% | 13 | $32.68 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 597 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 918 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 949 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 416 | $0.00 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 0% | 174 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 2,420 | $0.00 |
| J3490 | Unclassified drugs | 0% | 48 | $0.00 |
| J2060 | Injection, lorazepam, 2 mg | 0% | 151 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 267 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 190 | $0.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 0% | 42 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 606 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 1,471 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 0% | 172 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 267 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 61 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 27 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 19 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 30 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.