Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1588719835 · ALLENTOWN, PA 18103 · Physical Medicine & Rehabilitation Physician · NPI assigned 01/25/2007

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

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

$705K
Total Medicaid Paid
13,188
Total Claims
12,849
Beneficiaries
26
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date01/25/2007

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 $2.96M
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 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 659 $37K
2021 2,677 $138K
2022 3,307 $172K
2023 3,998 $222K
2024 2,547 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,050 4,941 $201K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,532 2,472 $157K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,239 1,228 $138K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 934 922 $62K
95886 759 722 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 631 617 $21K
95910 130 126 $18K
20552 411 404 $13K
99243 98 98 $11K
64483 94 69 $8K
99244 Office or other outpatient consultation, moderate to high complexity 26 26 $4K
99222 Initial hospital care, per day, moderate complexity 67 67 $3K
72110 56 55 $2K
95908 12 12 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 65 64 $1K
62323 12 12 $1K
99254 14 14 $929.81
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 18 $919.68
97760 31 31 $906.18
99232 Subsequent hospital care, per day, moderate complexity 69 25 $887.04
72082 15 15 $835.76
99223 Prolong inpt eval add15 m 12 12 $436.80
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 25 25 $272.87
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 46 43 $204.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 760 751 $90.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg 82 80 $0.00