Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1053495341 · ALLENTOWN, PA 18103 · Maternal & Fetal Medicine Physician · NPI assigned 10/24/2006

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

Authorized official STEPHENS, JENNIFER controls 20+ related entities in our dataset. Read more

$2.47M
Total Medicaid Paid
32,746
Total Claims
30,628
Beneficiaries
18
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date10/24/2006

Related Entities

Other providers sharing the same authorized official: STEPHENS, JENNIFER

ProviderCityStateTotal Paid
LEHIGH VALLEY PHYSICIAN GROUP WHITEHALL PA $21.85M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $16.33M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $7.65M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $5.88M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $4.24M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $3.65M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $2.96M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $2.02M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $1.64M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $1.11M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $1.09M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $1.08M
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $895K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $854K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $743K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $722K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $705K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $686K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $673K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $650K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $1K
2020 1,255 $90K
2021 7,557 $583K
2022 8,668 $660K
2023 8,982 $680K
2024 6,270 $462K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,998 14,251 $984K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,102 2,083 $383K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,738 2,687 $230K
76819 Fetal biophysical profile; without non-stress testing 3,251 2,782 $197K
76813 1,997 1,973 $165K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,438 2,412 $143K
76801 1,523 1,503 $110K
76818 1,050 856 $105K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 834 791 $59K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 322 305 $22K
76821 319 237 $22K
76820 302 221 $15K
99232 Subsequent hospital care, per day, moderate complexity 177 80 $13K
99215 Prolong outpt/office vis 91 88 $9K
59025 Fetal non-stress test 483 239 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 48 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 59 58 $2K
95251 14 14 $741.68