Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST. Luke's Physician Group, INC

ST. Luke's Physician Group, INC was paid $1.37M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC
STROUDSBURG, PA 18360
33aNPI1801232962assigned 05/16/2013
28Total paid$1.37M
24GClaims42,336
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania

Rank by total paid#5 of 44
Median peer was paid$39K
This provider vs. median35×

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.

Entity ProliferationAuthorized official EVANS, DEAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018201$12K
2019102$4K
20201,773$43K
20219,972$269K
202211,110$325K
202310,239$369K
2024incomplete8,939$348K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 10,457 9,934 $375K
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 21% 5,401 5,201 $283K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18% 2,800 2,774 $251K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12% 1,858 1,830 $162K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.2% 1,406 1,400 $126K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.9% 605 596 $54K
99173 2.2% 5,268 5,192 $29K
92551 1.2% 1,909 1,874 $16K
90686 1.1% 2,092 2,055 $14K
90698 <1% 1,365 1,352 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,024 1,015 $7K
96127 <1% 1,525 1,495 $7K
24 more codes
90670 <1% 1,294 $6K
99499 <1% 340 $5K
90633 <1% 820 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 465 $4K
90680 <1% 781 $3K
90744 <1% 570 $3K
90656 <1% 239 $2K
90677 <1% 159 $2K
96161 <1% 493 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 71 $1K
90734 <1% 293 $1K
90651 <1% 302 $901.92
90716 <1% 117 $864.00
90707 <1% 142 $706.00
90696 <1% 106 $636.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 51 $531.85
90710 <1% 124 $486.00
90715 <1% 116 $348.00
83655 <1% 24 $248.22
99188 <1% 12 $220.22
92552 <1% 26 $202.40
90658 <1% 13 $132.00
85018 <1% 38 $124.99
90619 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.

From NPPES

Who's on the registration

Authorized officialEVANS, DEAN (PRESIDENT)
Same official

Other billing entities under EVANS, DEAN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.