Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1114001401 · ALLENTOWN, PA 18103 · Internal 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

$336K
Total Medicaid Paid
10,968
Total Claims
10,420
Beneficiaries
26
Codes Billed
2020-07
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 $2.47M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 370 $13K
2021 2,279 $68K
2022 2,660 $80K
2023 3,008 $91K
2024 2,651 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,339 4,220 $220K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,615 1,539 $59K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 602 601 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 397 394 $10K
90686 713 709 $7K
99233 Prolong inpt eval add15 m 310 94 $6K
91320 55 53 $3K
G0008 Administration of influenza virus vaccine 342 340 $3K
3078F 476 460 $2K
3074F 395 382 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 101 96 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47 47 $1K
90656 78 78 $804.48
99385 28 28 $735.10
99215 Prolong outpt/office vis 12 12 $705.65
36415 Collection of venous blood by venipuncture 1,100 1,069 $576.29
3079F 75 75 $480.00
90715 26 26 $461.07
92250 16 12 $430.15
3075F 54 52 $410.00
85610 75 28 $290.98
90662 26 25 $274.84
90677 15 15 $0.00
3048F 31 28 $0.00
4040F 27 24 $0.00