Clinic
Lehigh Valley Hospital
Lehigh Valley Hospital was paid $1.40M by Medicaid between Mar 2019 and Dec 2024, across 80 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 41% of everything it billed.
33Billing provider infoLEHIGH VALLEY HOSPITAL
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1326177544assigned 03/05/2007
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.40M
24GClaims130,973
24DCodes billed80
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#12 of 119
Median peer was paid$57K
This provider vs. median24×
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 THOMAS, ROBERT controls 20+ 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 | |
|---|---|---|---|
| 2019 | 340 | $2K | |
| 2020 | 9,762 | $199K | |
| 2021 | 25,506 | $823K | |
| 2022 | 16,955 | $54K | |
| 2023 | 36,530 | $176K | |
| 2024incomplete | 41,880 | $151K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 41% | 1,870 | 1,829 | $570K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 14% | 335 | 321 | $191K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 9.2% | 287 | 281 | $129K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 6.5% | 203 | 197 | $91K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.2% | 301 | 290 | $87K |
| 58661 | 5.2% | 82 | 80 | $73K | |
| 29848 | 3.7% | 65 | 65 | $51K | |
| 58558 | 2.0% | 26 | 26 | $28K | |
| 52356 | 1.8% | 27 | 27 | $26K | |
| 30520 | 1.7% | 24 | 24 | $24K | |
| 64721 | 1.7% | 41 | 40 | $24K | |
| 30140 | 1.1% | 39 | 38 | $16K |
68 more codes
| 47562 | <1% | 14 | $12K | |
| 14040 | <1% | 12 | $11K | |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | <1% | 1,725 | $10K |
| 54161 | <1% | 26 | $10K | |
| 58571 | <1% | 15 | $8K | |
| X0597 | <1% | 47 | $7K | |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | <1% | 644 | $5K |
| 43235 | <1% | 18 | $5K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,707 | $4K |
| J2704 | Injection, propofol, 10 mg | <1% | 29,338 | $4K |
| C1769 | Guide wire | <1% | 102 | $3K |
| 88342 | <1% | 388 | $3K | |
| 99152 | <1% | 157 | $2K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 98 | $1K |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 14,739 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 75 | $969.68 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 14,562 | $832.68 |
| 81025 | <1% | 696 | $739.14 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 47 | $706.41 |
| 88307 | <1% | 195 | $641.42 | |
| 85027 | <1% | 93 | $500.03 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 4,788 | $490.77 |
| 82947 | <1% | 554 | $458.19 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 93 | $433.41 |
| 96376 | <1% | 16 | $396.00 | |
| 88304 | <1% | 175 | $393.83 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 8,338 | $297.63 |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 1,651 | $281.85 |
| C1758 | Catheter, ureteral | <1% | 26 | $238.82 |
| 84703 | <1% | 81 | $227.88 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 12,926 | $224.78 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 11,265 | $203.72 |
| 82962 | <1% | 323 | $190.52 | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 1,635 | $124.30 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 4,024 | $122.95 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 3,286 | $118.71 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 894 | $60.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 764 | $58.43 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | <1% | 731 | $43.30 |
| A9270 | Non-covered item or service | <1% | 2,136 | $29.67 |
| C2627 | Catheter, suprapubic/cystoscopic | <1% | 13 | $24.43 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 567 | $15.64 |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 316 | $10.44 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 1,830 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 2,005 | $0.00 |
| J0780 | Injection, prochlorperazine, up to 10 mg | 0% | 234 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 194 | $0.00 |
| J0136 | Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg | 0% | 66 | $0.00 |
| S0028 | Injection, famotidine, 20 mg | 0% | 339 | $0.00 |
| J1650 | Injection, enoxaparin sodium, 10 mg | 0% | 140 | $0.00 |
| J2800 | Injection, methocarbamol, up to 10 ml | 0% | 55 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 217 | $0.00 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 0% | 147 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 625 | $0.00 |
| J2004 | Injection, lidocaine hcl with epinephrine, 1 mg | 0% | 141 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 109 | $0.00 |
| J2185 | Injection, meropenem, 100 mg | 0% | 15 | $0.00 |
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | 0% | 15 | $0.00 |
| J2184 | Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg | 0% | 284 | $0.00 |
| J7999 | Compounded drug, not otherwise classified | 0% | 93 | $0.00 |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 0% | 362 | $0.00 |
| J1836 | Injection, metronidazole, 10 mg | 0% | 197 | $0.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 0% | 763 | $0.00 |
| J1805 | Injection, esmolol hydrochloride, 10 mg | 0% | 203 | $0.00 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 0% | 242 | $0.00 |
| J2371 | Injection, phenylephrine hydrochloride, 20 micrograms | 0% | 71 | $0.00 |
| J1920 | Injection, labetalol hydrochloride, 5 mg | 0% | 13 | $0.00 |
| 64415 | 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 officialTHOMAS, ROBERT (REGIONAL CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.