Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1134285653 · ALLENTOWN, PA 18103 · Pediatric Endocrinology Physician · NPI assigned 12/29/2006

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

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

$1.08M
Total Medicaid Paid
15,672
Total Claims
15,543
Beneficiaries
10
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date12/29/2006

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 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
2020 559 $37K
2021 4,011 $192K
2022 3,393 $235K
2023 3,921 $325K
2024 3,788 $295K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,824 5,774 $471K
99215 Prolong outpt/office vis 3,286 3,262 $289K
99205 Prolong outpt/office vis 767 761 $159K
99244 Office or other outpatient consultation, moderate to high complexity 513 511 $100K
83036 Hemoglobin; glycosylated (A1C) 4,093 4,066 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 74 74 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 147 146 $9K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 124 112 $9K
95251 15 15 $530.25
36416 829 822 $89.86