Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1598160905 · ALLENTOWN, PA 18103 · Orthopaedic Surgery Physician · NPI assigned 10/28/2014

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

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

$3.65M
Total Medicaid Paid
90,182
Total Claims
81,038
Beneficiaries
40
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date10/28/2014

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 $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 ALLENTOWN PA $705K
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 2,702 $109K
2021 19,002 $814K
2022 24,502 $955K
2023 25,199 $1.00M
2024 18,777 $768K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,841 22,513 $923K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,459 13,702 $858K
20610 14,189 10,210 $725K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,785 5,725 $374K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,210 2,171 $237K
99243 1,209 1,198 $127K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 1,516 808 $82K
73562 1,428 1,158 $39K
73130 1,437 1,148 $34K
73630 1,508 1,276 $33K
73110 1,130 941 $27K
73564 654 514 $25K
73610 818 742 $25K
20550 758 643 $24K
73030 816 737 $23K
20611 246 222 $13K
20526 223 199 $12K
29848 41 40 $10K
99242 147 147 $10K
64721 25 25 $8K
72082 113 113 $7K
73080 287 226 $7K
73502 214 210 $7K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13,882 13,258 $6K
72110 86 85 $4K
25600 15 15 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 70 69 $2K
73100 52 39 $2K
20600 64 54 $1K
99215 Prolong outpt/office vis 13 13 $1K
73140 65 63 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 73 73 $975.33
73560 13 12 $394.32
72100 13 13 $291.30
J1030 Injection, methylprednisolone acetate, 40 mg 1,236 1,200 $260.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg 269 268 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 356 319 $0.00
99024 76 65 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 810 800 $0.00
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 35 24 $0.00