Physician
ST. Luke's Physician Group, INC.
ST. Luke's Physician Group, INC. was paid $1.55M by Medicaid between Oct 2019 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
BETHLEHEM, PA 18018
BETHLEHEM, PA 18018
33aNPI1881005866assigned 05/13/2014
33bProvider typePediatrics Physician
28Total paid$1.55M
24GClaims52,884
24DCodes billed38
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#62 of 1,257
Median peer was paid$45K
This provider vs. median34×
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
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 | |
|---|---|---|---|
| 2019 | 134 | $5K | |
| 2020 | 2,867 | $67K | |
| 2021 | 13,783 | $388K | |
| 2022 | 12,661 | $326K | |
| 2023 | 12,436 | $390K | |
| 2024incomplete | 11,003 | $375K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 11,261 | 10,660 | $390K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 22% | 4,123 | 4,081 | $346K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 2,780 | 2,741 | $218K |
| 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 | 13% | 3,944 | 3,747 | $201K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,008 | 1,979 | $172K |
| 92551 | 2.2% | 4,620 | 4,557 | $34K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 345 | 339 | $30K |
| 99173 | 1.4% | 4,252 | 4,191 | $21K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 779 | 749 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 706 | 677 | $18K |
| 90686 | <1% | 1,884 | 1,803 | $11K | |
| 99499 | <1% | 648 | 625 | $10K |
26 more codes
| 90698 | <1% | 2,121 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,392 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,279 | $9K |
| 90670 | <1% | 1,753 | $8K | |
| 83655 | <1% | 797 | $7K | |
| 90633 | <1% | 1,079 | $5K | |
| 90680 | <1% | 964 | $4K | |
| 90744 | <1% | 789 | $3K | |
| 96161 | <1% | 1,145 | $3K | |
| 96127 | <1% | 758 | $3K | |
| 90461 | <1% | 109 | $2K | |
| 85018 | <1% | 760 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $2K |
| 90716 | <1% | 324 | $2K | |
| 90696 | <1% | 333 | $2K | |
| 90707 | <1% | 335 | $2K | |
| 90651 | <1% | 363 | $1K | |
| 90656 | <1% | 236 | $1K | |
| 90710 | <1% | 322 | $1K | |
| 90677 | <1% | 211 | $1K | |
| 0081A | <1% | 16 | $696.00 | |
| 90734 | <1% | 194 | $608.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59 | $460.30 |
| 90715 | <1% | 74 | $246.95 | |
| 90619 | 0% | 80 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 13 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.