Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Lehigh Valley Hospital Pocono

Lehigh Valley Hospital Pocono was paid $11.90M by Medicaid between Jan 2018 and Dec 2024, across 256 billing codes. Its largest line is 99284, emergency room visit (serious) — 33% of everything it billed.

33Billing provider infoLEHIGH VALLEY HOSPITAL POCONO
EAST STROUDSBURG, PA 18301
33aNPI1568459436assigned 10/05/2005
33bProvider typePsychiatric Hospital Unit
28Total paid$11.90M
24GClaims288,764
24DCodes billed256
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital Unit providers in Pennsylvania

Rank by total paid#3 of 15
Median peer was paid$165K
This provider vs. median72×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
20181,347$108K
20191,933$113K
202027,158$964K
2021120,450$4.32M
202242,285$2.20M
202351,626$2.31M
2024incomplete43,965$1.89M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 33% 23,617 22,824 $3.89M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 17,776 17,135 $2.13M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.4% 6,692 6,489 $1.11M
G0378 Hospital observation service, per hour 3.2% 541 398 $379K
80053 Comprehensive metabolic panel 2.4% 28,317 26,403 $288K
X0621 2.3% 1,273 664 $272K
80061 Lipid panel 1.6% 13,414 13,263 $191K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.5% 2,325 2,206 $179K
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 1.4% 1,962 1,903 $162K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.4% 1,143 1,126 $162K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 26,720 24,267 $131K
77067 Screening mammography, bilateral, including computer-aided detection 1.1% 1,528 1,525 $126K
244 more codes
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,736 $114K
84443 Thyroid stimulating hormone (TSH) <1% 4,697 $111K
76830 Ultrasound, transvaginal <1% 2,395 $111K
80050 General health panel <1% 2,305 $107K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 4,671 $95K
70450 Computed tomography, head or brain; without contrast material <1% 1,161 $92K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 793 $75K
96361 Intravenous infusion, hydration; each additional hour <1% 2,548 $66K
86003 <1% 299 $64K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 245 $64K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 231 $64K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 985 $61K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,220 $56K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 1,336 $54K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 6,605 $52K
71046 Radiologic examination, chest; 2 views <1% 3,323 $49K
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 <1% 850 $48K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 550 $47K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 259 $45K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,237 $43K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,361 $41K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 510 $39K
96375 Therapeutic injection; each additional sequential IV push <1% 2,805 $39K
86803 <1% 1,750 $35K
70551 Magnetic resonance imaging, brain; without contrast material <1% 147 $35K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,059 $34K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,526 $33K
94729 <1% 1,223 $33K
76536 <1% 699 $33K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 481 $32K
76642 <1% 738 $32K
83036 Hemoglobin; glycosylated (A1C) <1% 4,502 $31K
72141 <1% 114 $28K
77066 Tomosynthesis, mammo <1% 318 $28K
80081 <1% 297 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 443 $24K
77065 Tomosynthesis, mammo <1% 340 $23K
84702 <1% 1,264 $22K
94727 <1% 1,209 $21K
73221 <1% 79 $21K
71250 <1% 387 $20K
93971 <1% 287 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 558 $18K
85027 <1% 2,289 $17K
78815 Positron emission tomography (PET) for limited area imaging <1% 29 $17K
87631 <1% 162 $17K
84439 <1% 2,040 $17K
86780 <1% 989 $16K
84484 <1% 2,185 $16K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 456 $16K
86618 <1% 584 $14K
450 Pov group 1 hd 301-450 lbs <1% 43 $14K
36415 Collection of venous blood by venipuncture <1% 4,346 $14K
84403 <1% 487 $14K
80048 Basic metabolic panel (calcium, ionized) <1% 1,673 $14K
84466 <1% 779 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,353 $13K
82607 <1% 963 $13K
71045 Radiologic examination, chest; single view <1% 1,915 $13K
84146 <1% 502 $13K
82728 <1% 1,002 $12K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 25 $12K
72125 Computed tomography, cervical spine; without contrast material <1% 214 $11K
93970 <1% 120 $11K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 201 $11K
94060 <1% 1,232 $11K
82570 <1% 1,548 $11K
86038 <1% 617 $10K
82043 <1% 1,224 $10K
83001 <1% 516 $9K
83525 <1% 755 $9K
84270 <1% 332 $9K
73564 <1% 401 $9K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,129 $9K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 350 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 350 $8K
81001 <1% 3,484 $8K
83540 <1% 895 $8K
83605 <1% 1,358 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 388 $8K
87340 <1% 487 $7K
85610 <1% 2,288 $7K
84703 <1% 906 $7K
83002 <1% 406 $7K
82670 <1% 318 $7K
84153 <1% 282 $7K
83690 <1% 1,869 $7K
86850 <1% 947 $7K
73610 <1% 378 $7K
82627 <1% 294 $7K
77062 <1% 288 $6K
86617 <1% 277 $6K
86706 <1% 448 $6K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 57 $6K
70486 <1% 104 $6K
72110 <1% 288 $6K
82784 <1% 315 $6K
A9585 Injection, gadobutrol, 0.1 ml <1% 201 $5K
74246 <1% 123 $5K
81003 <1% 1,793 $5K
93017 <1% 164 $5K
86480 <1% 66 $5K
73630 <1% 449 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 46 $4K
83735 <1% 910 $4K
76770 <1% 95 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 132 $4K
83970 <1% 112 $4K
83021 <1% 188 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 93 $4K
82746 <1% 309 $4K
73030 <1% 259 $4K
J1756 Injection, iron sucrose, 1 mg <1% 2,234 $4K
64483 <1% 29 $4K
86431 <1% 446 $4K
84140 <1% 128 $4K
77061 <1% 153 $3K
86901 <1% 969 $3K
86800 <1% 177 $3K
86900 <1% 970 $3K
84144 <1% 209 $3K
85730 <1% 515 $3K
73130 <1% 305 $3K
83880 <1% 143 $3K
82533 <1% 245 $3K
84550 <1% 479 $3K
83655 <1% 258 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 161 $3K
85652 <1% 925 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 249 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 6,860 $3K
73110 <1% 249 $3K
87536 <1% 26 $3K
86235 <1% 142 $3K
86200 <1% 175 $3K
93226 <1% 63 $3K
84460 <1% 331 $3K
76819 Fetal biophysical profile; without non-stress testing <1% 48 $2K
300 Patient transfer system <300 <1% 57 $2K
82950 <1% 346 $2K
77080 <1% 48 $2K
93880 <1% 30 $2K
87634 <1% 29 $2K
73502 <1% 139 $2K
74018 <1% 179 $2K
86695 <1% 108 $2K
80076 <1% 238 $2K
84480 <1% 257 $2K
59025 Fetal non-stress test <1% 97 $2K
72082 <1% 54 $2K
86140 <1% 659 $2K
83615 <1% 297 $2K
86225 <1% 125 $2K
87040 <1% 114 $2K
96376 <1% 110 $2K
86696 <1% 82 $2K
82024 <1% 48 $2K
76775 <1% 41 $2K
85379 <1% 205 $2K
86376 <1% 184 $2K
86360 <1% 26 $2K
82947 <1% 466 $2K
84156 <1% 368 $2K
72050 <1% 60 $1K
93225 <1% 76 $1K
85007 <1% 313 $1K
86039 <1% 88 $1K
84165 <1% 90 $1K
87077 <1% 198 $1K
84100 <1% 272 $1K
82542 <1% 68 $1K
86359 <1% 26 $1K
87186 <1% 141 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,210 $990.24
86704 <1% 57 $967.35
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 151 $891.72
80074 <1% 16 $863.00
82785 <1% 45 $853.21
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,309 $802.55
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,982 $787.08
A9270 Non-covered item or service <1% 5,265 $776.16
73140 <1% 87 $724.93
82550 <1% 104 $705.58
98968 <1% 26 $694.96
86708 <1% 42 $656.06
82248 <1% 93 $623.68
87522 Neg quan hep c or qual rna <1% 13 $598.78
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 18 $570.00
93350 <1% 14 $568.61
S9470 Nutritional counseling, dietitian visit <1% 38 $567.60
84432 <1% 26 $538.05
76882 <1% 76 $527.20
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 108 $514.53
83516 <1% 12 $513.00
86769 <1% 27 $430.84
84481 <1% 16 $423.70
96523 <1% 29 $413.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,559 $398.41
84450 <1% 58 $385.06
84378 <1% 28 $366.66
J7120 Ringers lactate infusion, up to 1000 cc <1% 931 $363.62
73590 <1% 25 $355.65
81025 <1% 160 $344.90
J1170 Injection, hydromorphone, up to 4 mg <1% 304 $318.23
90715 <1% 26 $312.95
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,318 $299.17
82150 <1% 56 $294.73
86255 <1% 13 $293.74
82948 <1% 214 $275.48
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 14 $257.37
J7050 Infusion, normal saline solution, 250 cc <1% 1,665 $243.29
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,541 $225.37
73080 <1% 24 $224.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 467 $222.53
OP250 <1% 53 $206.25
J2704 Injection, propofol, 10 mg <1% 171 $197.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 27 $184.00
J3010 Injection, fentanyl citrate, 0.1 mg <1% 443 $159.93
96367 <1% 13 $134.67
85045 <1% 27 $128.70
87081 <1% 26 $126.34
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,053 $119.03
95819 <1% 12 $101.65
85018 <1% 29 $80.53
82962 <1% 70 $70.88
J2060 Injection, lorazepam, 2 mg <1% 400 $65.31
85014 <1% 26 $57.15
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 657 $51.99
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 151 $38.60
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 73 $28.74
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 72 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 12 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 165 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 193 $0.00
J0517 Injection, benralizumab, 1 mg 0% 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 100 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 0% 159 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 15 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 0% 18 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 440 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 223 $0.00
S0028 Injection, famotidine, 20 mg 0% 82 $0.00
J7510 Prednisolone oral, per 5 mg 0% 25 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 43 $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)
Same official

Other billing entities under THOMAS, ROBERT

Full network →
ProviderLocationPaid
Millennium Health, LLCSan Diego, CA$579.29M
Lehigh Valley HospitalAllentown, PA$64.40M
Lehigh Valley Hospital HazletonHazleton, PA$11.69M
Lehigh Valley HospitalAllentown, PA$10.00M
Lehigh Valley Hospital - SchuylkillPottsville, PA$6.83M
Lehigh Valley Hospital- PoconoDickson City, PA$3.75M
Lehigh Valley HospitalAllentown, PA$2.90M
Lehigh Valley HospitalAllentown, PA$1.95M
Lehigh Valley Hospital, INCAllentown, PA$1.85M
Lehigh Valley HospitalAllentown, PA$1.40M
Lehigh Valley Hospital - SchuylkillSaint Clair, PA$744K
Maryland Wound & Amputation Prevention, LLCLutherville, MD$399K
Robert L Thomas MD FCCP LLCWalterboro, SC$253K
A-One Home Health Services, LLCEverett, WA$236K
Avamere Home Health Care, LLCBellingham, WA$234K
Lehigh Valley Hospital SchuylkillPottsville, PA$218K
Lehigh Valley Hospital HazletonHazleton, PA$193K
Prime Home Health, LLCFederal Way, WA$115K
Lehigh Valley HospitalAllentown, PA$70K
Northwest Hospice LLCTigard, OR$33K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.