Medicaid Provider Spending

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

LEHIGH VALLEY HOSPITAL

NPI: 1326177544 · ALLENTOWN, PA 18103 · Ambulatory Surgical Clinic/Center · NPI assigned 03/05/2007

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

Authorized official THOMAS, ROBERT controls 20+ related entities in our dataset. Read more

$1.40M
Total Medicaid Paid
130,973
Total Claims
100,561
Beneficiaries
80
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, ROBERT (REGIONAL CFO)
NPI Enumeration Date03/05/2007

Related Entities

Other providers sharing the same authorized official: THOMAS, ROBERT

ProviderCityStateTotal Paid
MILLENNIUM HEALTH, LLC SAN DIEGO CA $579.29M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $64.40M
LEHIGH VALLEY HOSPITAL POCONO EAST STROUDSBURG PA $11.90M
LEHIGH VALLEY HOSPITAL HAZLETON HAZLETON PA $11.69M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $10.00M
LEHIGH VALLEY HOSPITAL - SCHUYLKILL POTTSVILLE PA $6.83M
LEHIGH VALLEY HOSPITAL- POCONO DICKSON CITY PA $3.75M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $2.90M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $1.95M
LEHIGH VALLEY HOSPITAL, INC ALLENTOWN PA $1.85M
LEHIGH VALLEY HOSPITAL - SCHUYLKILL SAINT CLAIR PA $744K
MARYLAND WOUND & AMPUTATION PREVENTION, LLC LUTHERVILLE MD $399K
ROBERT L THOMAS MD FCCP LLC WALTERBORO SC $253K
A-ONE HOME HEALTH SERVICES, LLC EVERETT WA $236K
AVAMERE HOME HEALTH CARE, LLC BELLINGHAM WA $234K
LEHIGH VALLEY HOSPITAL SCHUYLKILL POTTSVILLE PA $218K
LEHIGH VALLEY HOSPITAL HAZLETON HAZLETON PA $193K
PRIME HOME HEALTH, LLC FEDERAL WAY WA $115K
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $70K
NORTHWEST HOSPICE LLC TIGARD OR $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 340 $2K
2020 9,762 $199K
2021 25,506 $823K
2022 16,955 $54K
2023 36,530 $176K
2024 41,880 $151K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,870 1,829 $570K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 335 321 $191K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 287 281 $129K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 203 197 $91K
45380 Colonoscopy, flexible; with biopsy, single or multiple 301 290 $87K
58661 82 80 $73K
29848 65 65 $51K
58558 26 26 $28K
52356 27 27 $26K
30520 24 24 $24K
64721 41 40 $24K
30140 39 38 $16K
47562 14 12 $12K
14040 12 12 $11K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,725 1,433 $10K
54161 26 26 $10K
58571 15 15 $8K
X0597 47 45 $7K
J2370 Injection, phenylephrine hcl, up to 1 ml 644 494 $5K
43235 18 18 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,707 1,669 $4K
J2704 Injection, propofol, 10 mg 29,338 15,572 $4K
C1769 Guide wire 102 98 $3K
88342 388 374 $3K
99152 157 155 $2K
99153 Mod sedat endo service >5yrs 98 95 $1K
J7120 Ringers lactate infusion, up to 1000 cc 14,739 12,806 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 75 67 $969.68
J3010 Injection, fentanyl citrate, 0.1 mg 14,562 11,918 $832.68
81025 696 660 $739.14
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 47 46 $706.41
88307 195 190 $641.42
85027 93 86 $500.03
J7030 Infusion, normal saline solution , 1000 cc 4,788 4,176 $490.77
82947 554 507 $458.19
80048 Basic metabolic panel (calcium, ionized) 93 85 $433.41
96376 16 12 $396.00
88304 175 173 $393.83
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,338 6,928 $297.63
J1644 Injection, heparin sodium, per 1000 units 1,651 1,125 $281.85
C1758 Catheter, ureteral 26 26 $238.82
84703 81 79 $227.88
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,926 10,611 $224.78
J2250 Injection, midazolam hydrochloride, per 1 mg 11,265 9,621 $203.72
82962 323 298 $190.52
J1170 Injection, hydromorphone, up to 4 mg 1,635 1,341 $124.30
J1885 Injection, ketorolac tromethamine, per 15 mg 4,024 3,061 $122.95
J0690 Injection, cefazolin sodium, 500 mg 3,286 2,692 $118.71
J2795 Injection, ropivacaine hydrochloride, 1 mg 894 787 $60.00
J2270 Injection, morphine sulfate, up to 10 mg 764 677 $58.43
J0171 Injection, adrenalin, epinephrine, 0.1 mg 731 646 $43.30
A9270 Non-covered item or service 2,136 513 $29.67
C2627 Catheter, suprapubic/cystoscopic 13 13 $24.43
J7050 Infusion, normal saline solution, 250 cc 567 499 $15.64
J3370 Injection, vancomycin hcl, 500 mg 316 294 $10.44
J1596 Injection, glycopyrrolate, 0.1 mg 1,830 1,514 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 2,005 1,780 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 234 228 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 194 190 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 66 66 $0.00
S0028 Injection, famotidine, 20 mg 339 334 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 140 127 $0.00
J2800 Injection, methocarbamol, up to 10 ml 55 52 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 217 211 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 147 147 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 625 503 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 141 120 $0.00
J1171 Injection, hydromorphone, 0.1 mg 109 82 $0.00
J2185 Injection, meropenem, 100 mg 15 14 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 15 14 $0.00
J2184 Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg 284 277 $0.00
J7999 Compounded drug, not otherwise classified 93 56 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 362 331 $0.00
J1836 Injection, metronidazole, 10 mg 197 187 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 763 658 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 203 174 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 242 241 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 71 57 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 13 12 $0.00
64415 13 13 $0.00