Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $4.24M by Medicaid between Jan 2020 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1437248598assigned 10/12/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4.24M
24GClaims74,628
24DCodes billed38
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Pennsylvania
Rank by total paid#2 of 511
Median peer was paid$14K
This provider vs. median296×
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 | |
|---|---|---|---|
| 2020 | 3,735 | $262K | |
| 2021 | 19,895 | $1.35M | |
| 2022 | 18,173 | $929K | |
| 2023 | 18,244 | $927K | |
| 2024incomplete | 14,581 | $772K |
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 | 65% | 45,695 | 42,810 | $2.75M |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 5.5% | 715 | 714 | $231K |
| 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 | 5.4% | 3,167 | 3,110 | $228K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.1% | 138 | 135 | $214K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 4.3% | 816 | 809 | $184K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 2,465 | 2,415 | $97K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 3,072 | 3,062 | $86K |
| 90651 | 1.8% | 876 | 874 | $78K | |
| 76830 | Ultrasound, transvaginal | 1.5% | 759 | 745 | $64K |
| 76818 | 1.3% | 484 | 401 | $57K | |
| 59025 | Fetal non-stress test | 1.1% | 3,110 | 2,461 | $48K |
| 90746 | <1% | 979 | 973 | $30K |
26 more codes
| 90715 | <1% | 1,990 | $30K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,347 | $23K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 286 | $18K |
| 87210 | <1% | 2,149 | $17K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 548 | $16K |
| 76801 | <1% | 161 | $14K | |
| 81025 | <1% | 2,314 | $13K | |
| 90686 | <1% | 1,147 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 69 | $5K |
| J2790 | Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) | <1% | 89 | $4K |
| 59430 | <1% | 39 | $4K | |
| 99385 | <1% | 109 | $3K | |
| T1001 | Nursing assessment / evaluation | <1% | 12 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 51 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 33 | $2K |
| 81003 | <1% | 365 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $1K |
| 99386 | <1% | 26 | $760.10 | |
| G0008 | Administration of influenza virus vaccine | <1% | 41 | $573.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $18.05 |
| 99459 | <1% | 251 | $11.25 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 1,213 | $0.00 |
| 3078F | 0% | 30 | $0.00 | |
| 90656 | 0% | 16 | $0.00 | |
| 3074F | 0% | 27 | $0.00 | |
| J2791 | Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu | 0% | 12 | $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 | $7.65M |
| Lehigh Valley Physician Group | Allentown, PA | $5.88M |
| 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.