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 $175K by Medicaid between Sep 2020 and Nov 2024, across 6 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.
WALNUTPORT, PA 18088
33aNPI1992801898assigned 09/16/2006
28Total paid$175K
24GClaims4,466
24DCodes billed6
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#415 of 2,756
Median peer was paid$19K
This provider vs. median9.1×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020215$7K
20211,151$38K
20221,205$45K
20231,192$49K
2024incomplete703$36K
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 80% 2,926 2,763 $139K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 715 665 $24K
99499 6.2% 765 717 $11K
90686 <1% 34 34 $486.04
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 13 $264.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 13 12 $187.44

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)
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.