Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $225K by Medicaid between Jan 2018 and Sep 2022, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 29% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1285893545assigned 06/03/2008
33bProvider typePediatrics Physician
28Total paid$225K
24GClaims7,747
24DCodes billed30
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#324 of 1,257
Median peer was paid$45K
This provider vs. median4.9×
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 DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,004 | $54K | |
| 2019 | 3,953 | $74K | |
| 2020 | 1,537 | $31K | |
| 2022 | 253 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 29% | 175 | 174 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,248 | 1,056 | $24K |
| 90651 | 10% | 113 | 107 | $23K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 909 | 827 | $22K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.3% | 449 | 377 | $14K |
| 90734 | 5.8% | 100 | 94 | $13K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 151 | 148 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 514 | 486 | $12K |
| 90686 | 3.6% | 454 | 416 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 328 | 295 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 343 | 326 | $7K |
| 90461 | 2.3% | 175 | 167 | $5K |
18 more codes
| 92551 | 1.1% | 1,098 | $2K | |
| 90633 | <1% | 53 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | $941.43 |
| 99460 | <1% | 12 | $912.52 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 44 | $857.18 |
| G0008 | Administration of influenza virus vaccine | <1% | 197 | $712.70 |
| WA061 | <1% | 26 | $511.42 | |
| 90715 | <1% | 15 | $458.98 | |
| 99188 | <1% | 26 | $456.12 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 95 | $449.71 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 45 | $305.08 |
| 90670 | <1% | 13 | $179.50 | |
| 90698 | <1% | 13 | $175.00 | |
| 99051 | <1% | 79 | $98.62 | |
| 85018 | <1% | 14 | $59.39 | |
| 99173 | <1% | 984 | $14.94 | |
| 83655 | 0% | 13 | $0.00 | |
| 96161 | 0% | 13 | $0.00 |
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 officialDEMOPOULOS, JAMES (SR/VP & COO)
Parent organizationLEHIGH VALLEY PHYSICIAN GROUP
| Provider | Location | Paid |
|---|---|---|
| Family Care Centers INC. | E Stroudsburg, PA | $11.08M |
| Hazleton Professional Services | Hazleton, PA | $8.26M |
| Family Care Centers INC | East Stroudsburg, PA | $6.09M |
| Schuylkill Health System Medical Group, INC. | Pottsville, PA | $2.41M |
| Schuylkill Health System Medical Group, INC. | Pottsville, PA | $1.15M |
| Lehigh Valley Physician Group | Allentown, PA | $190K |
| Lehigh Valley Physician Group | Allentown, PA | $157K |
| Lehigh Valley Physician Group | Whitehall, PA | $107K |
| Lehigh Valley Physician Group | Dickson City, PA | $17K |
| Lehigh Valley Physician Group | Allentown, PA | $15K |
| Lehigh Valley Physician Group | Bethlehem, PA | $7K |
| Lehigh Valley Physician Group | Allentown, PA | $6K |
| Lehigh Valley Physician Group | Scranton, PA | $4K |
| Lehigh Valley Physician Group | Bethlehem, PA | $479.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.