Lehigh Valley Physician Group

Lehigh Valley Physician Group was paid $105K by Medicaid between Sep 2019 and Nov 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 59% of everything it billed.

33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
FOGELSVILLE, PA 18051

33aNPI1558707646assigned 05/15/2013

33bProvider typeFamily Medicine Physician

28Total paid$105K

24GClaims3,936

24DCodes billed7

24AFirst – last monthSep 2019 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#612 of 2,756

Median peer was paid$19K

This provider vs. median5.5×

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
2019	113	$864.38
2020	108	$2K
2021	842	$18K
2022	780	$16K
2023	970	$28K
2024incomplete	1,123	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	59%	2,265	2,065	$62K
99308	Subsequent nursing facility care, per day, straightforward	19%	1,023	849	$20K
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	16%	372	358	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	116	106	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.9%	40	12	$2K
90686		<1%	105	105	$662.50
G0008	Administration of influenza virus vaccine	<1%	15	15	$94.75

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 officialDEMOPOLOUS, JAMES (VP, CFO)

Parent organizationLEHIGH VALLEY PHYSICIAN GROUP