Medicaid Provider Spending

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

ST. LUKE'S PHYSICIAN GROUP, INC

NPI: 1801232962 · STROUDSBURG, PA 18360 · Pediatric Adolescent Medicine Physician · NPI assigned 05/16/2013

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

Authorized official EVANS, DEAN controls 20+ related entities in our dataset. Read more

$1.37M
Total Medicaid Paid
42,336
Total Claims
41,207
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEVANS, DEAN (PRESIDENT)
NPI Enumeration Date05/16/2013

Related Entities

Other providers sharing the same authorized official: EVANS, DEAN

ProviderCityStateTotal Paid
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $28.78M
ST. LUKE'S PHYSICIAN GROUP, INC. FOUNTAIN HILL PA $2.85M
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $1.73M
ST. LUKE'S PHYSICIAN GROUP, INC. FOUNTAIN HILL PA $1.73M
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $1.55M
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $1.36M
ST. LUKE'S PHYSICIAN GROUP, INC. QUAKERTOWN PA $866K
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $643K
ST. LUKE'S PHYSICIAN GROUP, INC. ALLENTOWN PA $503K
ST. LUKE'S PHYSICIAN GROUP PALMERTON PA $442K
ST. LUKE'S PHYSICIAN GROUP, INC. ALLENTOWN PA $396K
ST. LUKE'S PHYSICIAN GROUP, INC. BRODHEADSVILLE PA $357K
ST. LUKE'S PHYSICIAN GROUP, INC. LEHIGHTON PA $301K
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $246K
ST. LUKE'S PHYSICIAN GROUP, INC. ALLENTOWN PA $229K
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $214K
ST. LUKE'S PHYSICIAN GROUP, INC. CENTER VALLEY PA $204K
ST. LUKE'S PHYSICIAN GROUP, INC. BETHLEHEM PA $200K
ST. LUKE'S PHYSICIANS GROUP INC. ALLENTOWN PA $176K
ST. LUKE'S PHYSICIAN GROUP, INC. WALNUTPORT PA $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 201 $12K
2019 102 $4K
2020 1,773 $43K
2021 9,972 $269K
2022 11,110 $325K
2023 10,239 $369K
2024 8,939 $348K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,457 9,934 $375K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,401 5,201 $283K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,800 2,774 $251K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,858 1,830 $162K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,406 1,400 $126K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 605 596 $54K
99173 5,268 5,192 $29K
92551 1,909 1,874 $16K
90686 2,092 2,055 $14K
90698 1,365 1,352 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,024 1,015 $7K
96127 1,525 1,495 $7K
90670 1,294 1,274 $6K
99499 340 322 $5K
90633 820 805 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 465 439 $4K
90680 781 771 $3K
90744 570 567 $3K
90656 239 239 $2K
90677 159 156 $2K
96161 493 488 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 71 58 $1K
90734 293 292 $1K
90651 302 288 $901.92
90716 117 117 $864.00
90707 142 140 $706.00
90696 106 106 $636.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 51 46 $531.85
90710 124 122 $486.00
90715 116 116 $348.00
83655 24 24 $248.22
99188 12 12 $220.22
92552 26 26 $202.40
90658 13 13 $132.00
85018 38 38 $124.99
90619 30 30 $0.00