Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1336713130 · WHITEHALL, PA 18052 · Family Medicine Physician · NPI assigned 05/17/2021

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

Authorized official DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more

$107K
Total Medicaid Paid
2,230
Total Claims
1,982
Beneficiaries
4
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMOPOULOS, JAMES (SR VP/ COO OF LVPG)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date05/17/2021

Related Entities

Other providers sharing the same authorized official: DEMOPOULOS, JAMES

ProviderCityStateTotal 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 $225K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $190K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $157K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 364 $17K
2022 587 $26K
2023 666 $33K
2024 613 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,096 958 $64K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,102 992 $42K
G0008 Administration of influenza virus vaccine 14 14 $152.40
90686 18 18 $0.00