Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lehigh Valley Physician Group

Lehigh Valley Physician Group was paid $650K by Medicaid between Oct 2020 and Nov 2024, across 11 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 33% of everything it billed.

33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
33aNPI1104990969assigned 11/20/2006
33bProvider typePediatrics Physician
28Total paid$650K
24GClaims6,625
24DCodes billed11
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#149 of 1,257
Median peer was paid$45K
This provider vs. median14×

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

$0$20K$40K$60K2018201920202021202220232024
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
202035$5K
2021909$53K
20221,211$106K
20232,668$280K
2024incomplete1,802$206K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99222 Initial hospital care, per day, moderate complexity 33% 1,518 1,492 $215K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 24% 1,943 1,109 $159K
99238 Hospital discharge day management, 30 minutes or less 17% 1,904 1,873 $108K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 10% 721 451 $65K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5.4% 141 100 $35K
99239 Hospital discharge day management, more than 30 minutes 4.1% 233 229 $27K
99471 2.1% 13 13 $14K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1.7% 22 12 $11K
99223 Prolong inpt eval add15 m 1.1% 38 38 $7K
99219 <1% 66 66 $6K
99217 <1% 26 26 $1K

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
Same official

Other billing entities under STEPHENS, JENNIFER

Full network →
ProviderLocationPaid
Lehigh Valley Physician GroupWhitehall, PA$21.85M
Lehigh Valley Physician GroupAllentown, PA$16.33M
Lehigh Valley Physician GroupAllentown, PA$7.65M
Lehigh Valley Physician GroupAllentown, PA$5.88M
Lehigh Valley Physician GroupAllentown, PA$4.24M
Lehigh Valley Physician GroupAllentown, PA$3.65M
Lehigh Valley Physician GroupAllentown, PA$2.96M
Lehigh Valley Physician GroupAllentown, PA$2.47M
Lehigh Valley Physician GroupAllentown, PA$2.02M
Lehigh Valley Physician GroupAllentown, PA$1.64M
Lehigh Valley Physician GroupAllentown, PA$1.11M
Lehigh Valley Physician GroupAllentown, PA$1.09M
Lehigh Valley Physician GroupAllentown, PA$1.08M
Lehigh Valley Physician GroupBethlehem, PA$895K
Lehigh Valley Physician GroupAllentown, PA$854K
Lehigh Valley Physician GroupAllentown, PA$743K
Lehigh Valley Physician GroupAllentown, PA$722K
Lehigh Valley Physician GroupAllentown, PA$705K
Lehigh Valley Physician GroupBethlehem, PA$686K
Lehigh Valley Physician GroupAllentown, PA$673K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.