Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Scranton › NPI 1265191811
Physician

Lehigh Valley Physician Group

Lehigh Valley Physician Group was paid $159K by Medicaid between Feb 2022 and Dec 2024, across 9 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 41% of everything it billed.

33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
SCRANTON, PA 18503
33aNPI1265191811assigned 12/10/2021
28Total paid$159K
24GClaims3,456
24DCodes billed9
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in Pennsylvania

Rank by total paid#34 of 707
Median peer was paid$5K
This provider vs. median33×

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$5.0K$10K2018201920202021202220232024
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
2022550$27K
20231,518$71K
2024incomplete1,388$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
77067 Screening mammography, bilateral, including computer-aided detection 41% 885 872 $66K
76642 23% 779 736 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 515 493 $19K
77063 Screening digital breast tomosynthesis, bilateral 11% 885 872 $18K
77066 Tomosynthesis, mammo 6.7% 117 114 $11K
77065 Tomosynthesis, mammo 2.5% 52 49 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2.2% 186 181 $4K
76641 1.2% 25 24 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 12 12 $722.50

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.