Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $157K by Medicaid between Nov 2020 and Jun 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1588944953assigned 08/17/2011
33bProvider typeFamily Medicine Physician
28Total paid$157K
24GClaims3,798
24DCodes billed14
24AFirst – last monthNov 2020 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#459 of 2,756
Median peer was paid$19K
This provider vs. median8.2×
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 DEMOPOULOS, JAMES controls 14+ 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 | 252 | $10K | |
| 2021 | 1,667 | $62K | |
| 2022 | 1,452 | $64K | |
| 2023 | 427 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 96% | 3,344 | 3,077 | $151K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 75 | 71 | $2K |
| 90686 | <1% | 153 | 148 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 13 | $851.20 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | 25 | $510.60 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 38 | 12 | $390.66 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $290.40 |
| G0008 | Administration of influenza virus vaccine | <1% | 27 | 27 | $165.80 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | 14 | $158.77 |
| 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 | <1% | 15 | 14 | $135.56 |
| 3074F | <1% | 37 | 36 | $90.00 | |
| 3079F | <1% | 13 | 13 | $30.00 |
2 more codes
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 officialDEMOPOULOS, JAMES (SR VP & COO)
Parent organizationLEHIGH VALLEY PHYSICIAN GROUP
| Provider | Location | Paid |
|---|---|---|
| Family Care Centers INC. | E Stroudsburg, PA | $11.08M |
| Hazleton Professional Services | Hazleton, PA | $8.26M |
| Family Care Centers INC | East Stroudsburg, PA | $6.09M |
| Schuylkill Health System Medical Group, INC. | Pottsville, PA | $2.41M |
| Schuylkill Health System Medical Group, INC. | Pottsville, PA | $1.15M |
| Lehigh Valley Physician Group | Allentown, PA | $225K |
| Lehigh Valley Physician Group | Allentown, PA | $190K |
| Lehigh Valley Physician Group | Whitehall, PA | $107K |
| Lehigh Valley Physician Group | Dickson City, PA | $17K |
| Lehigh Valley Physician Group | Allentown, PA | $15K |
| Lehigh Valley Physician Group | Bethlehem, PA | $7K |
| Lehigh Valley Physician Group | Allentown, PA | $6K |
| Lehigh Valley Physician Group | Scranton, PA | $4K |
| Lehigh Valley Physician Group | Bethlehem, PA | $479.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.