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 $59K by Medicaid between Nov 2020 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
WIND GAP, PA 18091
33aNPI1811214950assigned 04/29/2010
28Total paid$59K
24GClaims1,568
24DCodes billed7
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#854 of 2,756
Median peer was paid$19K
This provider vs. median3.1×

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.

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2020126$5K
2021579$20K
2022338$13K
2023328$12K
2024incomplete197$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 59% 729 712 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 608 570 $20K
99499 2.0% 62 62 $1K
90686 1.8% 95 95 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.7% 50 50 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 12 12 $967.82
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 12 $238.70

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 (ENROLLMENT COORDINATOR)
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.