Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1386733061 · ALLENTOWN, PA 18103 · Surgery Physician · NPI assigned 10/12/2006

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

Authorized official STEPHENS, JENNIFER controls 20+ related entities in our dataset. Read more

$854K
Total Medicaid Paid
15,124
Total Claims
9,947
Beneficiaries
20
Codes Billed
2019-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date10/12/2006

Related Entities

Other providers sharing the same authorized official: STEPHENS, JENNIFER

ProviderCityStateTotal Paid
LEHIGH VALLEY PHYSICIAN GROUP WHITEHALL PA $21.85M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $16.33M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $7.65M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $5.88M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $4.24M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $3.65M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $2.96M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $2.47M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $2.02M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $1.64M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $1.11M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $1.09M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $1.08M
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $895K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $743K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $722K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $705K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $686K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $673K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $650K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 69 $426.02
2020 569 $13K
2021 3,711 $156K
2022 4,771 $282K
2023 4,045 $266K
2024 1,959 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 8,037 4,209 $364K
99215 Prolong outpt/office vis 1,797 1,762 $170K
99205 Prolong outpt/office vis 685 674 $105K
92065 2,152 964 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 775 758 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 234 234 $29K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 126 53 $19K
99243 179 178 $18K
92060 424 420 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 79 79 $14K
99222 Initial hospital care, per day, moderate complexity 93 91 $9K
99244 Office or other outpatient consultation, moderate to high complexity 47 47 $8K
99238 Hospital discharge day management, 30 minutes or less 131 128 $5K
93970 74 72 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 57 57 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 40 $3K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 71 69 $2K
93971 22 15 $528.13
92015 Determination of refractive state 54 53 $302.68
99024 47 44 $0.00