Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $1.78M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 84% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1457309650assigned 05/04/2006
33bProvider typeEmergency Medicine Physician
28Total paid$1.78M
24GClaims29,491
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#26 of 1,211
Median peer was paid$19K
This provider vs. median91×
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.
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 | 4,341 | $110K | |
| 2019 | 983 | $29K | |
| 2020 | 1,787 | $77K | |
| 2021 | 7,622 | $447K | |
| 2022 | 5,561 | $398K | |
| 2023 | 5,168 | $413K | |
| 2024incomplete | 4,029 | $303K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 84% | 20,132 | 12,009 | $1.50M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.7% | 1,442 | 1,416 | $65K |
| 99254 | 2.5% | 516 | 509 | $45K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 1,311 | 1,197 | $38K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.0% | 744 | 685 | $35K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 986 | 944 | $22K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,396 | 2,200 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 632 | 254 | $15K |
| 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 | <1% | 270 | 267 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 336 | 320 | $11K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 157 | 141 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 234 | 125 | $5K |
9 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 164 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 52 | $2K |
| 99285 | Emergency room visit (most serious) | <1% | 27 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $900.00 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 12 | $457.59 |
| 99350 | Prolong home eval add 15m | <1% | 13 | $397.29 |
| 92083 | <1% | 29 | $301.93 | |
| 92133 | <1% | 12 | $69.45 | |
| 81003 | <1% | 14 | $3.08 |
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 officialSANTIAGO, BREANNA (ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Lehigh Valley Physician Group | Allentown, PA | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.