Physician
ST. Luke's Physician Group INC.
ST. Luke's Physician Group INC. was paid $94K by Medicaid between Jul 2020 and Aug 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 38% of everything it billed.
33Billing provider infoST. LUKE'S PHYSICIAN GROUP INC.
TAMAQUA, PA 18252
TAMAQUA, PA 18252
33aNPI1770028136assigned 12/21/2016
33bProvider typeOtolaryngology Physician
28Total paid$94K
24GClaims2,405
24DCodes billed6
24AFirst – last monthJul 2020 – Aug 2024
Compared with peers
Next to other Otolaryngology Physician providers in Pennsylvania
Rank by total paid#32 of 136
Median peer was paid$13K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2020 | 110 | $2K | |
| 2021 | 681 | $22K | |
| 2022 | 495 | $21K | |
| 2023 | 875 | $42K | |
| 2024incomplete | 244 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 371 | 368 | $36K |
| 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 | 15% | 268 | 261 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 429 | 407 | $13K |
| 92557 | 14% | 473 | 464 | $13K | |
| 92567 | 9.5% | 727 | 714 | $9K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 137 | 137 | $8K |
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 officialMINAHAN, JOE (PRESIDENT)