Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › EAST STROUDSBURG › LEHIGH VALLEY HOSPITAL POCONO

LEHIGH VALLEY HOSPITAL POCONO

NPI: 1568459436 · EAST STROUDSBURG, PA 18301 · Psychiatric Hospital Unit · NPI assigned 10/05/2005

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

Authorized official THOMAS, ROBERT controls 20+ related entities in our dataset. Read more

$11.90M
Total Medicaid Paid
288,764
Total Claims
266,156
Beneficiaries
256
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, ROBERT (CHIEF ACCOUNTING OFFICER)
NPI Enumeration Date10/05/2005

Related Entities

Other providers sharing the same authorized official: THOMAS, ROBERT

ProviderCityStateTotal Paid
MILLENNIUM HEALTH, LLC SAN DIEGO CA $579.29M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $64.40M
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
NORTHWEST HOSPICE LLC TIGARD OR $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,347 $108K
2019 1,933 $113K
2020 27,158 $964K
2021 120,450 $4.32M
2022 42,285 $2.20M
2023 51,626 $2.31M
2024 43,965 $1.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 23,617 22,824 $3.89M
99283 Emergency department visit for the evaluation and management, moderate severity 17,776 17,135 $2.13M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,692 6,489 $1.11M
G0378 Hospital observation service, per hour 541 398 $379K
80053 Comprehensive metabolic panel 28,317 26,403 $288K
X0621 1,273 664 $272K
80061 Lipid panel 13,414 13,263 $191K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 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 1,962 1,903 $162K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,143 1,126 $162K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,720 24,267 $131K
77067 Screening mammography, bilateral, including computer-aided detection 1,528 1,525 $126K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,736 2,708 $114K
84443 Thyroid stimulating hormone (TSH) 4,697 4,612 $111K
76830 Ultrasound, transvaginal 2,395 2,380 $111K
80050 General health panel 2,305 2,269 $107K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,671 4,375 $95K
70450 Computed tomography, head or brain; without contrast material 1,161 1,120 $92K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 793 488 $75K
96361 Intravenous infusion, hydration; each additional hour 2,548 2,340 $66K
86003 299 295 $64K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 245 245 $64K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 231 223 $64K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 985 948 $61K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,220 1,208 $56K
T1015 Clinic visit/encounter, all-inclusive 1,336 566 $54K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,605 6,287 $52K
71046 Radiologic examination, chest; 2 views 3,323 3,244 $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 850 788 $48K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 550 548 $47K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 259 258 $45K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,237 1,232 $43K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,361 1,353 $41K
74176 Computed tomography, abdomen and pelvis; without contrast material 510 503 $39K
96375 Therapeutic injection; each additional sequential IV push 2,805 2,388 $39K
86803 1,750 1,731 $35K
70551 Magnetic resonance imaging, brain; without contrast material 147 146 $35K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,059 631 $34K
77063 Screening digital breast tomosynthesis, bilateral 1,526 1,522 $33K
94729 1,223 1,212 $33K
76536 699 688 $33K
71260 Computed tomography, thorax, diagnostic; with contrast material 481 480 $32K
76642 738 657 $32K
83036 Hemoglobin; glycosylated (A1C) 4,502 4,431 $31K
72141 114 112 $28K
77066 Tomosynthesis, mammo 318 316 $28K
80081 297 297 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 443 368 $24K
77065 Tomosynthesis, mammo 340 326 $23K
84702 1,264 1,091 $22K
94727 1,209 1,198 $21K
73221 79 78 $21K
71250 387 383 $20K
93971 287 278 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 558 504 $18K
85027 2,289 2,245 $17K
78815 Positron emission tomography (PET) for limited area imaging 29 29 $17K
87631 162 154 $17K
84439 2,040 1,991 $17K
86780 989 972 $16K
84484 2,185 2,041 $16K
76705 Ultrasound, abdominal, real time with image documentation; limited 456 451 $16K
86618 584 581 $14K
450 Pov group 1 hd 301-450 lbs 43 28 $14K
36415 Collection of venous blood by venipuncture 4,346 3,771 $14K
84403 487 484 $14K
80048 Basic metabolic panel (calcium, ionized) 1,673 1,614 $14K
84466 779 769 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,353 1,150 $13K
82607 963 956 $13K
71045 Radiologic examination, chest; single view 1,915 1,852 $13K
84146 502 497 $13K
82728 1,002 991 $12K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 25 25 $12K
72125 Computed tomography, cervical spine; without contrast material 214 211 $11K
93970 120 120 $11K
76700 Ultrasound, abdominal, real time with image documentation; complete 201 199 $11K
94060 1,232 1,221 $11K
82570 1,548 1,507 $11K
86038 617 611 $10K
82043 1,224 1,209 $10K
83001 516 513 $9K
83525 755 747 $9K
84270 332 331 $9K
73564 401 376 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,129 1,092 $9K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 350 338 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 350 339 $8K
81001 3,484 3,355 $8K
83540 895 884 $8K
83605 1,358 1,298 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 388 307 $8K
87340 487 473 $7K
85610 2,288 2,075 $7K
84703 906 878 $7K
83002 406 404 $7K
82670 318 316 $7K
84153 282 281 $7K
83690 1,869 1,802 $7K
86850 947 856 $7K
73610 378 361 $7K
82627 294 292 $7K
77062 288 288 $6K
86617 277 276 $6K
86706 448 437 $6K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 57 55 $6K
70486 104 102 $6K
72110 288 287 $6K
82784 315 311 $6K
A9585 Injection, gadobutrol, 0.1 ml 201 181 $5K
74246 123 122 $5K
81003 1,793 1,751 $5K
93017 164 162 $5K
86480 66 66 $5K
73630 449 429 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 46 44 $4K
83735 910 798 $4K
76770 95 92 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 132 127 $4K
83970 112 109 $4K
83021 188 187 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 93 82 $4K
82746 309 308 $4K
73030 259 249 $4K
J1756 Injection, iron sucrose, 1 mg 2,234 830 $4K
64483 29 29 $4K
86431 446 446 $4K
84140 128 128 $4K
77061 153 153 $3K
86901 969 877 $3K
86800 177 176 $3K
86900 970 877 $3K
84144 209 187 $3K
85730 515 508 $3K
73130 305 285 $3K
83880 143 137 $3K
82533 245 227 $3K
84550 479 435 $3K
83655 258 251 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 161 96 $3K
85652 925 913 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 249 170 $3K
J7030 Infusion, normal saline solution , 1000 cc 6,860 5,749 $3K
73110 249 240 $3K
87536 26 26 $3K
86235 142 141 $3K
86200 175 175 $3K
93226 63 63 $3K
84460 331 330 $3K
76819 Fetal biophysical profile; without non-stress testing 48 32 $2K
300 Patient transfer system <300 57 28 $2K
82950 346 346 $2K
77080 48 48 $2K
93880 30 29 $2K
87634 29 29 $2K
73502 139 135 $2K
74018 179 177 $2K
86695 108 108 $2K
80076 238 231 $2K
84480 257 254 $2K
59025 Fetal non-stress test 97 38 $2K
72082 54 54 $2K
86140 659 649 $2K
83615 297 253 $2K
86225 125 125 $2K
87040 114 107 $2K
96376 110 102 $2K
86696 82 82 $2K
82024 48 46 $2K
76775 41 40 $2K
85379 205 204 $2K
86376 184 184 $2K
86360 26 26 $2K
82947 466 438 $2K
84156 368 335 $2K
72050 60 59 $1K
93225 76 75 $1K
85007 313 306 $1K
86039 88 88 $1K
84165 90 89 $1K
87077 198 191 $1K
84100 272 238 $1K
82542 68 66 $1K
86359 26 26 $1K
87186 141 135 $1K
J2270 Injection, morphine sulfate, up to 10 mg 1,210 1,069 $990.24
86704 57 57 $967.35
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 151 149 $891.72
80074 16 15 $863.00
82785 45 45 $853.21
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,309 3,020 $802.55
J1885 Injection, ketorolac tromethamine, per 15 mg 3,982 3,715 $787.08
A9270 Non-covered item or service 5,265 2,145 $776.16
73140 87 85 $724.93
82550 104 100 $705.58
98968 26 26 $694.96
86708 42 41 $656.06
82248 93 83 $623.68
87522 Neg quan hep c or qual rna 13 13 $598.78
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 16 $570.00
93350 14 13 $568.61
S9470 Nutritional counseling, dietitian visit 38 38 $567.60
84432 26 25 $538.05
76882 76 72 $527.20
88305 Level IV - Surgical pathology, gross and microscopic examination 108 107 $514.53
83516 12 12 $513.00
86769 27 27 $430.84
84481 16 16 $423.70
96523 29 26 $413.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,559 1,270 $398.41
84450 58 58 $385.06
84378 28 27 $366.66
J7120 Ringers lactate infusion, up to 1000 cc 931 849 $363.62
73590 25 25 $355.65
81025 160 157 $344.90
J1170 Injection, hydromorphone, up to 4 mg 304 246 $318.23
90715 26 26 $312.95
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,318 2,111 $299.17
82150 56 56 $294.73
86255 13 13 $293.74
82948 214 184 $275.48
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 12 $257.37
J7050 Infusion, normal saline solution, 250 cc 1,665 1,003 $243.29
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,541 1,207 $225.37
73080 24 24 $224.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 467 398 $222.53
OP250 53 41 $206.25
J2704 Injection, propofol, 10 mg 171 137 $197.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 26 $184.00
J3010 Injection, fentanyl citrate, 0.1 mg 443 399 $159.93
96367 13 13 $134.67
85045 27 27 $128.70
87081 26 25 $126.34
J2765 Injection, metoclopramide hcl, up to 10 mg 1,053 1,001 $119.03
95819 12 12 $101.65
85018 29 27 $80.53
82962 70 61 $70.88
J2060 Injection, lorazepam, 2 mg 400 342 $65.31
85014 26 24 $57.15
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 657 622 $51.99
J2250 Injection, midazolam hydrochloride, per 1 mg 151 139 $38.60
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 73 53 $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 72 68 $0.00
J2785 Injection, regadenoson, 0.1 mg 12 12 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 165 118 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 193 176 $0.00
J0517 Injection, benralizumab, 1 mg 12 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 100 95 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 159 103 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 15 15 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18 12 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 440 373 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 223 184 $0.00
S0028 Injection, famotidine, 20 mg 82 80 $0.00
J7510 Prednisolone oral, per 5 mg 25 25 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 43 41 $0.00