Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $2.47M by Medicaid between Jun 2019 and Dec 2024, across 18 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 40% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1053495341assigned 10/24/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$2.47M
24GClaims32,746
24DCodes billed18
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Pennsylvania
Rank by total paid#3 of 60
Median peer was paid$37K
This provider vs. median68×
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 STEPHENS, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 14 | $1K | |
| 2020 | 1,255 | $90K | |
| 2021 | 7,557 | $583K | |
| 2022 | 8,668 | $660K | |
| 2023 | 8,982 | $680K | |
| 2024incomplete | 6,270 | $462K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 40% | 14,998 | 14,251 | $984K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 15% | 2,102 | 2,083 | $383K |
| 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 | 9.3% | 2,738 | 2,687 | $230K |
| 76819 | Fetal biophysical profile; without non-stress testing | 8.0% | 3,251 | 2,782 | $197K |
| 76813 | 6.7% | 1,997 | 1,973 | $165K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.8% | 2,438 | 2,412 | $143K |
| 76801 | 4.4% | 1,523 | 1,503 | $110K | |
| 76818 | 4.3% | 1,050 | 856 | $105K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.4% | 834 | 791 | $59K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 322 | 305 | $22K |
| 76821 | <1% | 319 | 237 | $22K | |
| 76820 | <1% | 302 | 221 | $15K |
6 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 177 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 91 | $9K |
| 59025 | Fetal non-stress test | <1% | 483 | $8K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 48 | $5K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 59 | $2K |
| 95251 | <1% | 14 | $741.68 |
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 officialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent organizationLEHIGH VALLEY PHYSICIAN GROUP
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.