Physician
ST. Luke's Physician Group, INC.
ST. Luke's Physician Group, INC. was paid $154K by Medicaid between Nov 2020 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
KRESGEVILLE, PA 18333
KRESGEVILLE, PA 18333
33aNPI1881178317assigned 09/20/2018
33bProvider typeFamily Medicine Physician
28Total paid$154K
24GClaims4,702
24DCodes billed10
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#465 of 2,756
Median peer was paid$19K
This provider vs. median8.0×
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 | 162 | $4K | |
| 2021 | 1,328 | $34K | |
| 2022 | 1,366 | $41K | |
| 2023 | 1,143 | $42K | |
| 2024incomplete | 703 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 2,302 | 2,158 | $113K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 999 | 863 | $34K |
| 99499 | 2.8% | 367 | 338 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 74 | 74 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 107 | 104 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | 16 | $328.00 |
| 3725F | 0% | 174 | 174 | $0.00 | |
| 3008F | 0% | 373 | 371 | $0.00 | |
| 1036F | 0% | 278 | 276 | $0.00 | |
| 90686 | 0% | 12 | 12 | $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 officialKEMMERER, KRISTIN (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $59K |
| ST. Luke's Warren Physician Group, PC | Clinton, NJ | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.