Medicaid Provider Spending

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

THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC.

NPI: 1952755209 · TAMAQUA, PA 18252 · Emergency Medicine Physician · NPI assigned 04/22/2016

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

Authorized official WOLFE, SCOTT controls 20+ related entities in our dataset. Read more

$248K
Total Medicaid Paid
9,162
Total Claims
8,592
Beneficiaries
10
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOLFE, SCOTT (SVP OF FINANCE)
NPI Enumeration Date04/22/2016

Related Entities

Other providers sharing the same authorized official: WOLFE, SCOTT

ProviderCityStateTotal Paid
ST LUKES HOSPITAL BETHLEHEM PA $20.74M
ST. LUKE'S HOSPITAL MONROE CAMPUS STROUDSBURG PA $11.88M
ST LUKES HOSPITAL-ANDERSON CAMPUS EASTON PA $8.47M
ST LUKES EMERGENCY & TRANSPORT SERVICES, INC QUAKERTOWN PA $4.32M
ST LUKES QUAKERTOWN HOSPITAL QUAKERTOWN PA $3.56M
ST. LUKE'S HOSPITAL GRAND VIEW CAMPUS SELLERSVILLE PA $2.45M
ST. LUKE'S HOSPITAL-CARBON CAMPUS LEHIGHTON PA $1.36M
ST. LUKE'S HOSPITAL BETHLEHEM LEHIGHTON PA $707K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. HAZLE TOWNSHIP PA $307K
ST. LUKE'S HOSPITAL MONROE CAMPUS BRODHEADSVILLE PA $263K
CARBON - SCHUYLKILL COMMUNITY HOSPITAL INC MAHANOY CITY PA $221K
ST. LUKE'S HOSPITAL MONROE CAMPUS POCONO SUMMIT PA $211K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. LEHIGHTON PA $192K
ST. LUKE'S PHYSICIAN GROUP, INC ALLENTOWN PA $173K
ST. LUKE'S HOSPITAL HAMBURG PA $126K
ST LUKE HOSPITAL PALMERTON PA $122K
ST. LUKE'S HOSPITAL MONROE CAMPUS EAST STROUDSBURG PA $105K
ST. LUKE'S HOSPITAL WHITEHALL PA $85K
ST. LUKE'S HOSPTIAL WIND GAP PA $67K
ST. LUKE'S HOSPITAL JIM THORPE PA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,642 $40K
2023 3,052 $80K
2024 4,468 $128K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,586 2,487 $94K
S9088 Services provided in an urgent care center (list in addition to code for service) 3,820 3,502 $80K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,289 2,140 $66K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 139 136 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 136 136 $794.84
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $768.24
87070 104 104 $658.78
71046 Radiologic examination, chest; 2 views 43 43 $621.02
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 19 19 $287.98
81002 14 13 $36.67