Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $2.96M by Medicaid between Jan 2020 and Dec 2024, across 26 billing codes. Its largest line is 99243, — 17% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1548332968assigned 11/14/2006
33bProvider typePediatric Surgery Physician
28Total paid$2.96M
24GClaims31,608
24DCodes billed26
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatric Surgery Physician providers in Pennsylvania
Rank by total paid#1 of 9
Median peer was paid$8K
This provider vs. median349×
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 | 822 | $63K | |
| 2021 | 6,869 | $582K | |
| 2022 | 7,426 | $689K | |
| 2023 | 8,370 | $863K | |
| 2024incomplete | 8,121 | $761K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 17% | 3,259 | 3,242 | $499K | |
| 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 | 15% | 4,892 | 4,837 | $451K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 15% | 1,992 | 1,983 | $441K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,528 | 5,443 | $357K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 9.7% | 832 | 821 | $286K |
| 92587 | 7.0% | 3,284 | 3,257 | $206K | |
| 54300 | 3.9% | 296 | 278 | $114K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.6% | 746 | 601 | $106K |
| 92567 | 3.4% | 4,416 | 4,384 | $101K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 663 | 655 | $86K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 832 | 819 | $70K |
| 92557 | 2.3% | 1,220 | 1,210 | $68K |
14 more codes
| 54161 | 1.8% | 315 | $53K | |
| 92579 | 1.4% | 1,106 | $41K | |
| 14040 | <1% | 287 | $27K | |
| 54360 | <1% | 41 | $14K | |
| 42830 | <1% | 38 | $9K | |
| 81003 | <1% | 1,479 | $7K | |
| 31575 | <1% | 37 | $4K | |
| 69210 | <1% | 146 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 25 | $4K |
| 51798 | <1% | 94 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $1K |
| 43762 | <1% | 12 | $694.47 | |
| 51741 | <1% | 17 | $466.32 |
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 | $4.24M |
| Lehigh Valley Physician Group | Allentown, PA | $3.65M |
| 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.