Medicaid Provider Spending

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

LEHIGH VALLEY HOSPITAL HAZLETON

NPI: 1548322720 · HAZLETON, PA 18201 · Clinic/Center · NPI assigned 12/14/2006

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

Authorized official THOMAS, ROBERT controls 20+ related entities in our dataset. Read more

$11.69M
Total Medicaid Paid
281,987
Total Claims
242,953
Beneficiaries
227
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, ROBERT (CHIEF ACCOUNTING OFFICER)
NPI Enumeration Date12/14/2006

Related Entities

Other providers sharing the same authorized official: THOMAS, ROBERT

ProviderCityStateTotal Paid
MILLENNIUM HEALTH, LLC SAN DIEGO CA $579.29M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $64.40M
LEHIGH VALLEY HOSPITAL POCONO EAST STROUDSBURG PA $11.90M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $10.00M
LEHIGH VALLEY HOSPITAL - SCHUYLKILL POTTSVILLE PA $6.83M
LEHIGH VALLEY HOSPITAL- POCONO DICKSON CITY PA $3.75M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $2.90M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $1.95M
LEHIGH VALLEY HOSPITAL, INC ALLENTOWN PA $1.85M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $1.40M
LEHIGH VALLEY HOSPITAL - SCHUYLKILL SAINT CLAIR PA $744K
MARYLAND WOUND & AMPUTATION PREVENTION, LLC LUTHERVILLE MD $399K
ROBERT L THOMAS MD FCCP LLC WALTERBORO SC $253K
A-ONE HOME HEALTH SERVICES, LLC EVERETT WA $236K
AVAMERE HOME HEALTH CARE, LLC BELLINGHAM WA $234K
LEHIGH VALLEY HOSPITAL SCHUYLKILL POTTSVILLE PA $218K
LEHIGH VALLEY HOSPITAL HAZLETON HAZLETON PA $193K
PRIME HOME HEALTH, LLC FEDERAL WAY WA $115K
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $70K
NORTHWEST HOSPICE LLC TIGARD OR $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 108 $6K
2019 1,214 $42K
2020 25,498 $931K
2021 107,949 $4.03M
2022 48,012 $2.40M
2023 53,209 $2.38M
2024 45,997 $1.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 22,431 21,616 $3.43M
99283 Emergency department visit for the evaluation and management, moderate severity 16,946 16,463 $1.99M
T1015 Clinic visit/encounter, all-inclusive 31,529 8,450 $1.30M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,357 3,250 $496K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,977 3,487 $346K
G0378 Hospital observation service, per hour 433 336 $345K
X0621 1,277 760 $292K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,354 2,251 $229K
80053 Comprehensive metabolic panel 19,591 18,400 $198K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 465 463 $178K
T1001 Nursing assessment / evaluation 1,017 1,005 $167K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,103 1,081 $152K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,728 2,661 $137K
H0004 Behavioral health counseling and therapy, per 15 minutes 3,412 3,157 $125K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,076 19,696 $106K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,933 1,863 $103K
77067 Screening mammography, bilateral, including computer-aided detection 827 825 $70K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,426 3,272 $68K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,314 1,277 $61K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 807 800 $59K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,149 1,083 $59K
99429 252 252 $57K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 969 891 $51K
80061 Lipid panel 3,611 3,581 $51K
84443 Thyroid stimulating hormone (TSH) 2,087 2,067 $50K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,215 5,988 $50K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 626 622 $50K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 796 697 $48K
70450 Computed tomography, head or brain; without contrast material 942 913 $47K
S9470 Nutritional counseling, dietitian visit 2,667 2,270 $47K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,030 1,023 $42K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,640 1,624 $41K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 719 714 $39K
76830 Ultrasound, transvaginal 763 759 $37K
86780 2,364 2,331 $37K
80050 General health panel 951 946 $37K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,364 1,321 $32K
86803 1,555 1,535 $32K
87653 693 690 $31K
84703 3,263 3,163 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material 450 437 $30K
93975 273 263 $29K
71045 Radiologic examination, chest; single view 4,505 4,359 $29K
74176 Computed tomography, abdomen and pelvis; without contrast material 396 390 $27K
76801 590 576 $25K
97162 426 418 $25K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 820 697 $24K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 143 143 $24K
87631 169 166 $23K
97164 610 600 $23K
76700 Ultrasound, abdominal, real time with image documentation; complete 410 409 $22K
84484 2,336 2,155 $20K
96375 Therapeutic injection; each additional sequential IV push 1,705 1,514 $20K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 238 144 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,632 1,386 $19K
77063 Screening digital breast tomosynthesis, bilateral 813 811 $18K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 941 920 $18K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 564 552 $17K
71046 Radiologic examination, chest; 2 views 1,219 1,201 $16K
90715 1,311 1,270 $15K
86762 977 968 $15K
84702 855 768 $14K
87086 Culture, bacterial; quantitative colony count, urine 2,160 2,067 $14K
72125 Computed tomography, cervical spine; without contrast material 252 250 $14K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 468 450 $14K
76536 262 260 $13K
83021 812 805 $12K
86787 873 867 $12K
85027 1,499 1,481 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited 327 320 $11K
87340 902 895 $10K
81001 4,170 4,001 $10K
76642 248 232 $10K
96361 Intravenous infusion, hydration; each additional hour 1,371 1,263 $10K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 236 231 $10K
86850 1,475 1,442 $10K
83036 Hemoglobin; glycosylated (A1C) 1,415 1,409 $10K
81003 3,529 3,401 $9K
59426 12 12 $9K
84466 525 520 $9K
82728 722 712 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 163 151 $8K
97168 225 220 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 217 201 $8K
83690 2,033 1,950 $8K
93017 195 195 $7K
72110 384 381 $7K
73564 340 320 $7K
97161 121 118 $7K
82950 925 915 $7K
80048 Basic metabolic panel (calcium, ionized) 725 699 $6K
71250 135 134 $6K
86706 505 499 $6K
76819 Fetal biophysical profile; without non-stress testing 116 72 $6K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 245 235 $6K
83880 259 247 $6K
82607 399 398 $5K
84439 643 638 $5K
83540 611 604 $5K
86901 1,512 1,473 $5K
86900 1,512 1,473 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 521 516 $5K
97165 78 78 $4K
84153 183 183 $4K
85379 474 461 $4K
73030 277 265 $4K
86696 200 199 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 385 371 $4K
83735 651 627 $4K
36415 Collection of venous blood by venipuncture 2,542 2,264 $4K
94729 131 131 $4K
72141 14 14 $3K
83605 529 496 $3K
86038 211 209 $3K
84146 124 123 $3K
82043 416 413 $3K
93970 42 41 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $3K
82947 1,186 1,091 $3K
82570 436 429 $3K
73610 199 192 $3K
86618 130 130 $3K
73630 293 277 $3K
76770 72 70 $3K
93971 44 44 $3K
87522 Neg quan hep c or qual rna 67 67 $3K
85610 844 780 $3K
81025 636 628 $3K
93976 28 28 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 53 13 $2K
84403 74 74 $2K
73130 182 165 $2K
74018 156 152 $2K
87040 140 135 $2K
87077 310 298 $2K
83525 166 164 $2K
87186 283 272 $2K
94726 76 76 $2K
93296 195 192 $2K
83721 144 144 $2K
86695 126 125 $2K
83655 148 145 $2K
83001 87 86 $2K
J7030 Infusion, normal saline solution , 1000 cc 4,231 3,878 $2K
85652 476 473 $1K
82805 71 67 $1K
93226 36 36 $1K
80074 25 25 $1K
76870 28 28 $1K
82784 61 59 $1K
70486 16 16 $1K
73110 93 88 $935.20
77065 Tomosynthesis, mammo 14 12 $921.46
86431 112 112 $909.06
86140 300 298 $890.75
82248 110 95 $838.61
J7120 Ringers lactate infusion, up to 1000 cc 3,740 3,185 $835.94
94010 116 116 $806.25
83002 44 43 $775.54
82746 64 63 $744.05
82247 96 75 $743.12
72050 27 27 $716.78
85730 122 118 $706.32
82550 107 101 $697.80
80076 78 76 $666.53
93225 37 37 $647.64
84436 64 64 $618.41
82962 472 447 $618.19
73502 41 40 $609.99
J1885 Injection, ketorolac tromethamine, per 15 mg 5,869 5,555 $578.17
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 15 $578.05
84480 72 72 $573.25
76775 12 12 $513.95
G0008 Administration of influenza virus vaccine 43 43 $466.48
86225 27 27 $401.07
85007 81 81 $398.91
74022 16 16 $344.03
82670 15 15 $342.74
82951 24 24 $330.88
86617 15 15 $323.29
84550 53 53 $312.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,519 2,265 $292.03
86235 15 15 $290.08
84481 14 13 $243.81
72170 29 29 $228.90
86704 13 13 $227.70
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28 26 $219.13
J2704 Injection, propofol, 10 mg 1,827 1,666 $211.48
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 14 13 $211.22
J3010 Injection, fentanyl citrate, 0.1 mg 2,313 2,170 $206.59
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,075 3,710 $202.29
86039 12 12 $194.94
82150 40 39 $181.29
86769 12 12 $179.88
86708 12 12 $171.69
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,191 2,085 $166.92
84100 28 27 $153.04
J2060 Injection, lorazepam, 2 mg 268 215 $145.49
J1170 Injection, hydromorphone, up to 4 mg 442 368 $105.05
J2765 Injection, metoclopramide hcl, up to 10 mg 798 770 $100.78
84425 13 13 $90.43
J0696 Injection, ceftriaxone sodium, per 250 mg 179 175 $87.06
J7050 Infusion, normal saline solution, 250 cc 985 655 $86.30
J2250 Injection, midazolam hydrochloride, per 1 mg 1,617 1,519 $84.19
J2270 Injection, morphine sulfate, up to 10 mg 222 199 $76.27
J1200 Injection, diphenhydramine hcl, up to 50 mg 905 814 $70.42
85045 14 13 $58.96
88142 13 13 $54.24
94760 26 24 $53.97
88305 Level IV - Surgical pathology, gross and microscopic examination 27 27 $51.93
A9270 Non-covered item or service 3,193 1,500 $31.49
J7510 Prednisolone oral, per 5 mg 60 60 $13.11
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 100 86 $7.76
J1750 Injection, iron dextran, 50 mg 238 214 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 169 142 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 160 150 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 16 12 $0.00
J1756 Injection, iron sucrose, 1 mg 237 126 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 84 78 $0.00
J1171 Injection, hydromorphone, 0.1 mg 45 38 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 178 143 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 79 71 $0.00
J0690 Injection, cefazolin sodium, 500 mg 212 198 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 192 163 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 12 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 85 78 $0.00
90686 12 12 $0.00