Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1265191811 · SCRANTON, PA 18503 · Diagnostic Radiology Physician · NPI assigned 12/10/2021

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

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

$159K
Total Medicaid Paid
3,456
Total Claims
3,353
Beneficiaries
9
Codes Billed
2022-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date12/10/2021

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
2022 550 $27K
2023 1,518 $71K
2024 1,388 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 885 872 $66K
76642 779 736 $36K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 515 493 $19K
77063 Screening digital breast tomosynthesis, bilateral 885 872 $18K
77066 Tomosynthesis, mammo 117 114 $11K
77065 Tomosynthesis, mammo 52 49 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 186 181 $4K
76641 25 24 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $722.50