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 1730133059)

Field	Value
Entity Type	Organization
Organization	St. Luke's Physician Group, Inc.
Address	801 Ostrum St
City	Bethlehem
State	PA
ZIP	18015
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$28.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	246,080	$80	$18.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	105,330	$90	$9.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	20,450	$30	$654.4K
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.	6,140	$60	$343.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	60	$140	$8K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	10	$30	$390

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 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1	1,600	270	$120	$409.7K
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.	142	1,060	150	$130	$405.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1	1,230	250	$130	$284K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1	340	250	$80	$89K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	150	250	80	$140	$74.1K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	31	40	40	$70	$5.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Luke's Physician Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Hospital	PA	General Acute Care Hospital	$0	$20.8M
St. Luke's Hospital- Easton Campus	PA	General Acute Care Hospital	$0	$8.8M
St. Luke's Physician Group, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Ellen Field	PA	Rheumatology Physician	$2.1M	$0
Timothy Howard	PA	Rheumatology Physician	$1.5M	$0
Joseph Zaladonis	PA	Specialist	$1.4M	$0
Paul Svigals	NJ	Vascular & Interventional Radiology Physician	$1.3M	$0
Shawna Murphy	PA	Emergency Medicine Physician	$989.5K	$0
Gary Lu	TX	Hematology & Oncology Physician	$848.4K	$0
Karandeep Jagpal	NJ	Nephrology Physician	$578.1K	$0

Nearby Providers

Other providers in the same ZIP code as St. Luke's Physician Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Star Community Health, Inc	PA	Federally Qualified Health Center (FQHC)	$0	$45.6M
White Deer Run, LLC	PA	Community/Behavioral Health Agency	$0	$9.4M
Kidspeace Children's Hospital, Inc.	PA	Adolescent and Children Mental Health Clinic/Center	$0	$8.9M
Life Guidance, LLC	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Roman Pravak	PA	Ophthalmology Physician	$680.5K	$0
Bassam Al-mamoori	PA	Diagnostic Radiology Physician	$566.6K	$0
Patrick Brogle	PA	Orthopaedic Surgery Physician	$469.1K	$0
Karen Dacey	PA	Ophthalmology Physician	$321.2K	$0
Manuel Jimenez-serrano	PA	Pulmonary Disease Physician	$258K	$0
Jacqueline Montoya	PA	Critical Care Medicine (Internal Medicine) Physician	$226.2K	$0

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

Sign up for St. Luke's Physician Group, Inc. — Billing Profile & Reimbursement Data policy alerts

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

Sign up for St. Luke's Physician Group, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References