Clinic
Lehigh Valley Hospital Pocono
Lehigh Valley Hospital Pocono was paid $19K by Medicaid between Oct 2020 and Dec 2024, across 24 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 71% of everything it billed.
33Billing provider infoLEHIGH VALLEY HOSPITAL POCONO
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1558495028assigned 03/15/2007
33bProvider typeClinic/Center
28Total paid$19K
24GClaims15,041
24DCodes billed24
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#141 of 176
Median peer was paid$441K
This provider vs. median0.0×
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 THOMAS, ROBERT 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 | 695 | $8K | |
| 2021 | 2,964 | $3K | |
| 2022 | 2,451 | $4K | |
| 2023 | 4,263 | $3K | |
| 2024incomplete | 4,668 | $23.66 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 71% | 70 | 69 | $13K |
| J1170 | Injection, hydromorphone, up to 4 mg | 6.9% | 683 | 556 | $1K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.8% | 355 | 352 | $1K |
| 84703 | 2.8% | 240 | 234 | $524.68 | |
| J2704 | Injection, propofol, 10 mg | 2.1% | 2,776 | 2,642 | $403.28 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 1.6% | 1,892 | 1,831 | $303.25 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1.6% | 1,320 | 1,291 | $302.28 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 1.5% | 1,847 | 1,749 | $285.07 |
| 82947 | 1.2% | 254 | 248 | $229.32 | |
| 88307 | 1.2% | 13 | 13 | $221.95 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 2,317 | 2,251 | $178.88 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,765 | 1,619 | $156.03 |
12 more codes
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | <1% | 30 | $101.63 |
| 81025 | <1% | 48 | $60.80 | |
| 82948 | <1% | 88 | $43.80 | |
| 82962 | <1% | 51 | $40.80 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 375 | $39.68 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 197 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 188 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 284 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 43 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 100 | $0.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 0% | 93 | $0.00 |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 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 officialTHOMAS, ROBERT (CHIEF ACCOUNTING OFFICER)
| Provider | Location | 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 Hazleton | Hazleton, PA | $11.69M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.