Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1396829685 · ALLENTOWN, PA 18104 · Pediatrics Physician · NPI assigned 10/24/2006

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

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

$7.65M
Total Medicaid Paid
170,290
Total Claims
164,405
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date10/24/2006

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 $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 $854K
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
2018 1,597 $106K
2019 1,278 $79K
2020 5,506 $251K
2021 36,625 $1.64M
2022 40,531 $1.81M
2023 45,295 $1.98M
2024 39,458 $1.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,776 38,898 $2.19M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15,123 14,937 $1.42M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,265 13,973 $1.38M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,340 7,833 $667K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,500 7,373 $662K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,757 2,723 $239K
99460 2,112 2,088 $150K
92551 13,525 13,271 $129K
99238 Hospital discharge day management, 30 minutes or less 2,039 2,016 $102K
90686 10,182 10,060 $90K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,328 5,815 $70K
90670 5,783 5,755 $59K
90460 Immunization administration through 18 years of age via any route, first or only component 1,725 1,492 $58K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,307 2,245 $45K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 853 825 $37K
99188 1,370 1,362 $35K
90680 4,314 4,298 $34K
90461 659 561 $31K
99174 2,655 2,636 $29K
90698 4,617 4,608 $24K
83655 1,929 1,917 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 979 954 $22K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 136 129 $20K
90697 2,354 2,350 $16K
90677 1,951 1,939 $16K
90633 2,540 2,491 $14K
54150 113 106 $12K
90656 1,965 1,962 $12K
90744 1,112 1,111 $10K
99462 300 253 $8K
WA061 341 314 $6K
90651 1,143 1,121 $4K
90472 Immunization administration, each additional vaccine (list separately) 156 156 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 73 73 $4K
80061 Lipid panel 229 228 $4K
99383 26 26 $3K
90688 256 249 $3K
99173 1,304 1,202 $2K
90696 397 392 $2K
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 89 87 $2K
90619 833 817 $2K
85018 390 387 $2K
90716 594 581 $1K
G0008 Administration of influenza virus vaccine 69 64 $1K
90715 419 414 $1K
99215 Prolong outpt/office vis 13 13 $1K
90707 543 539 $1K
96161 512 509 $747.51
90734 45 45 $529.60
90710 518 510 $370.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 17 13 $186.06
88720 13 13 $88.87
96160 14 14 $43.35
96127 12 12 $19.92
91319 56 48 $0.00
36416 382 370 $0.00
90381 34 34 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 50 49 $0.00
91318 65 64 $0.00
90620 38 38 $0.00
T1015 Clinic visit/encounter, all-inclusive 22 14 $0.00
91320 28 28 $0.00