Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $7.65M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18104
ALLENTOWN, PA 18104
33aNPI1396829685assigned 10/24/2006
33bProvider typePediatrics Physician
28Total paid$7.65M
24GClaims170,290
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#9 of 1,257
Median peer was paid$45K
This provider vs. median169×
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 STEPHENS, JENNIFER 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 39,458 | $1.79M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 41,776 | 38,898 | $2.19M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 15,123 | 14,937 | $1.42M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 14,265 | 13,973 | $1.38M |
| 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 | 8.7% | 8,340 | 7,833 | $667K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 7,500 | 7,373 | $662K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 2,757 | 2,723 | $239K |
| 99460 | 2.0% | 2,112 | 2,088 | $150K | |
| 92551 | 1.7% | 13,525 | 13,271 | $129K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 2,039 | 2,016 | $102K |
| 90686 | 1.2% | 10,182 | 10,060 | $90K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,328 | 5,815 | $70K |
| 90670 | <1% | 5,783 | 5,755 | $59K |
50 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,725 | $58K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,307 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 853 | $37K |
| 99188 | <1% | 1,370 | $35K | |
| 90680 | <1% | 4,314 | $34K | |
| 90461 | <1% | 659 | $31K | |
| 99174 | <1% | 2,655 | $29K | |
| 90698 | <1% | 4,617 | $24K | |
| 83655 | <1% | 1,929 | $23K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 979 | $22K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 136 | $20K |
| 90697 | <1% | 2,354 | $16K | |
| 90677 | <1% | 1,951 | $16K | |
| 90633 | <1% | 2,540 | $14K | |
| 54150 | <1% | 113 | $12K | |
| 90656 | <1% | 1,965 | $12K | |
| 90744 | <1% | 1,112 | $10K | |
| 99462 | <1% | 300 | $8K | |
| WA061 | <1% | 341 | $6K | |
| 90651 | <1% | 1,143 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 156 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 73 | $4K |
| 80061 | Lipid panel | <1% | 229 | $4K |
| 99383 | <1% | 26 | $3K | |
| 90688 | <1% | 256 | $3K | |
| 99173 | <1% | 1,304 | $2K | |
| 90696 | <1% | 397 | $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 | <1% | 89 | $2K |
| 90619 | <1% | 833 | $2K | |
| 85018 | <1% | 390 | $2K | |
| 90716 | <1% | 594 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 69 | $1K |
| 90715 | <1% | 419 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 90707 | <1% | 543 | $1K | |
| 96161 | <1% | 512 | $747.51 | |
| 90734 | <1% | 45 | $529.60 | |
| 90710 | <1% | 518 | $370.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $186.06 |
| 88720 | <1% | 13 | $88.87 | |
| 96160 | <1% | 14 | $43.35 | |
| 96127 | <1% | 12 | $19.92 | |
| 91319 | 0% | 56 | $0.00 | |
| 36416 | 0% | 382 | $0.00 | |
| 90381 | 0% | 34 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 50 | $0.00 |
| 91318 | 0% | 65 | $0.00 | |
| 90620 | 0% | 38 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 22 | $0.00 |
| 91320 | 0% | 28 | $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 officialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent organizationLEHIGH VALLEY PHYSICIAN GROUP
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.