Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lehigh Valley Physician Group

Lehigh Valley Physician Group was paid $107K by Medicaid between Jun 2021 and Dec 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
WHITEHALL, PA 18052
33aNPI1336713130assigned 05/17/2021
28Total paid$107K
24GClaims2,230
24DCodes billed4
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#609 of 2,756
Median peer was paid$19K
This provider vs. median5.6×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2021364$17K
2022587$26K
2023666$33K
2024incomplete613$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 60% 1,096 958 $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 40% 1,102 992 $42K
G0008 Administration of influenza virus vaccine <1% 14 14 $152.40
90686 0% 18 18 $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 OF LVPG)
Parent organizationLEHIGH VALLEY PHYSICIAN GROUP
Same official

Other billing entities under DEMOPOULOS, JAMES

Full network →
ProviderLocationPaid
Family Care Centers INC.E Stroudsburg, PA$11.08M
Hazleton Professional ServicesHazleton, PA$8.26M
Family Care Centers INCEast 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 GroupAllentown, PA$225K
Lehigh Valley Physician GroupAllentown, PA$190K
Lehigh Valley Physician GroupAllentown, PA$157K
Lehigh Valley Physician GroupDickson City, PA$17K
Lehigh Valley Physician GroupAllentown, PA$15K
Lehigh Valley Physician GroupBethlehem, PA$7K
Lehigh Valley Physician GroupAllentown, PA$6K
Lehigh Valley Physician GroupScranton, PA$4K
Lehigh Valley Physician GroupBethlehem, PA$479.15

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.