Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

St. Luke's Physician Group, Inc. (NPI 1326061581)

St. Luke's Physician Group, Inc. is a mental health clinic/center (including community mental health center) provider located in Bethlehem, Pennsylvania. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	St. Luke's Physician Group, Inc.
Address	257 Brodhead Rd
City	Bethlehem
State	PA
ZIP	18017
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	48,000	$60	$2.9M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	7,230	$130	$904.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	13,430	$60	$778.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	23,390	$30	$678.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	5,670	$50	$289.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,570	$50	$228.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	6,060	$10	$84.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,230	$70	$83.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	1,550	$50	$69.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	2,240	$20	$42.6K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

St. Luke's Physician Group, Inc. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2011	Crisis intervention service, per 15 minutes	66	70	2,210	$250	$1.3M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	52	690	2,240	$80	$1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	292	560	1,400	$90	$485.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	918	1,060	150	$130	$405.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	29	540	1,490	$50	$316.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	19	420	650	$180	$270.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	161	340	2,010	$50	$269.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	69	180	860	$70	$195.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	123	980	310	$50	$136.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	105	8,160	210	$60	$68.4K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Luke's Physician Group, Inc.	PA	Emergency Medicine Physician	$0	$28.8M
St Lukes Hospital	PA	General Acute Care Hospital	$0	$20.8M
Ellen Field	PA	Rheumatology Physician	$2.1M	$0
Timothy Howard	PA	Rheumatology Physician	$1.5M	$0
Joseph Zaladonis	PA	Specialist	$1.4M	$0
Shawna Murphy	PA	Emergency Medicine Physician	$989.5K	$0
Gary Lu	TX	Hematology & Oncology Physician	$848.4K	$0
Steven Lovitt	PA	Neurology Physician	$470.8K	$0
Patrick Brogle	PA	Orthopaedic Surgery Physician	$469.1K	$0
Roby Lal	IL	Radiation Oncology Physician	$459.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$27.9M
Lifepath, Inc.	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.3M
Progressive Physician Assoc Inc	PA	Diagnostic Radiology Physician	$0	$8M
Children's Surgery Center Of Lehigh Valley, LLC	PA	Ambulatory Surgical Clinic/Center	$0	$7.2M
City Of Bethlehem	PA	Land Ambulance	$876.2K	$3.4M
Sltlbk Associates, LLC	PA	Ophthalmologic Surgery Clinic/Center	$3.6M	$15K
David Vasily	PA	Dermatology Physician	$1.1M	$0
Nicole Chiappetta	PA	Rheumatology Physician	$625K	$0
Valley Kidney Specialists, PC	PA	Ambulatory Surgical Clinic/Center	$599.3K	$1.7K
Christopher Ferrante	PA	Adult Reconstructive Orthopaedic Surgery Physician	$434.3K	$0

St. Luke's Physician Group, Inc. — Billing Profile & Reimbursement Data

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St. Luke's Physician Group, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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