Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1154473668 · ALLENTOWN, PA 18103 · Pediatric Adolescent Medicine Physician · NPI assigned 01/17/2007

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

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

$399K
Total Medicaid Paid
4,220
Total Claims
4,128
Beneficiaries
9
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date01/17/2007

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
2021 422 $25K
2022 861 $75K
2023 1,273 $125K
2024 1,664 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,256 3,182 $260K
99245 209 208 $56K
99215 Prolong outpt/office vis 438 425 $52K
99244 Office or other outpatient consultation, moderate to high complexity 120 120 $21K
99205 Prolong outpt/office vis 45 43 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67 65 $3K
99243 17 17 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $175.88
96127 55 55 $6.52