Physician
ST. Luke's Physician Group, INC.
ST. Luke's Physician Group, INC. was paid $348K by Medicaid between Jun 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC.
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1952662272assigned 06/04/2012
33bProvider typeInternal Medicine Physician
28Total paid$348K
24GClaims10,031
24DCodes billed14
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#71 of 1,726
Median peer was paid$6K
This provider vs. median54×
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 | |
|---|---|---|---|
| 2018 | 52 | $322.64 | |
| 2019 | 27 | $609.01 | |
| 2020 | 386 | $15K | |
| 2021 | 3,425 | $106K | |
| 2022 | 3,113 | $98K | |
| 2023 | 1,740 | $67K | |
| 2024incomplete | 1,288 | $61K |
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 | 80% | 6,274 | 6,016 | $278K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,779 | 1,683 | $54K |
| 99499 | 3.2% | 724 | 683 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $1K |
| 90682 | <1% | 14 | 14 | $694.64 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | 25 | $634.40 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | 29 | $610.70 |
| 90686 | <1% | 63 | 63 | $554.45 | |
| 90715 | <1% | 15 | 15 | $499.58 | |
| 99385 | <1% | 13 | 13 | $282.70 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $276.00 |
| 3725F | 0% | 300 | 300 | $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 officialCHIVAAROLI, SUSAN (MANAGER)