Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1548332968 · ALLENTOWN, PA 18103 · Pediatric Surgery Physician · NPI assigned 11/14/2006

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

Authorized official STEPHENS, JENNIFER controls 20+ related entities in our dataset. Read more

$2.96M
Total Medicaid Paid
31,608
Total Claims
31,109
Beneficiaries
26
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date11/14/2006

Related Entities

Other providers sharing the same authorized official: STEPHENS, JENNIFER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 822 $63K
2021 6,869 $582K
2022 7,426 $689K
2023 8,370 $863K
2024 8,121 $761K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99243 3,259 3,242 $499K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,892 4,837 $451K
99244 Office or other outpatient consultation, moderate to high complexity 1,992 1,983 $441K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,528 5,443 $357K
42820 Tonsillectomy and adenoidectomy; younger than age 12 832 821 $286K
92587 3,284 3,257 $206K
54300 296 278 $114K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 746 601 $106K
92567 4,416 4,384 $101K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 663 655 $86K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 832 819 $70K
92557 1,220 1,210 $68K
54161 315 315 $53K
92579 1,106 1,098 $41K
14040 287 285 $27K
54360 41 41 $14K
42830 38 38 $9K
81003 1,479 1,451 $7K
31575 37 36 $4K
69210 146 122 $4K
99215 Prolong outpt/office vis 26 26 $4K
99205 Prolong outpt/office vis 25 25 $4K
51798 94 91 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 25 $1K
43762 12 12 $694.47
51741 17 14 $466.32