Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $3.65M by Medicaid between Jan 2020 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1598160905assigned 10/28/2014
33bProvider typeOrthopaedic Surgery Physician
28Total paid$3.65M
24GClaims90,182
24DCodes billed40
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#2 of 291
Median peer was paid$7K
This provider vs. median490×
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 STEPHENS, JENNIFER controls 20+ 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 | 2,702 | $109K | |
| 2021 | 19,002 | $814K | |
| 2022 | 24,502 | $955K | |
| 2023 | 25,199 | $1.00M | |
| 2024incomplete | 18,777 | $768K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 23,841 | 22,513 | $923K |
| 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 | 24% | 14,459 | 13,702 | $858K |
| 20610 | 20% | 14,189 | 10,210 | $725K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 5,785 | 5,725 | $374K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.5% | 2,210 | 2,171 | $237K |
| 99243 | 3.5% | 1,209 | 1,198 | $127K | |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 2.2% | 1,516 | 808 | $82K |
| 73562 | 1.1% | 1,428 | 1,158 | $39K | |
| 73130 | <1% | 1,437 | 1,148 | $34K | |
| 73630 | <1% | 1,508 | 1,276 | $33K | |
| 73110 | <1% | 1,130 | 941 | $27K | |
| 73564 | <1% | 654 | 514 | $25K |
28 more codes
| 73610 | <1% | 818 | $25K | |
| 20550 | <1% | 758 | $24K | |
| 73030 | <1% | 816 | $23K | |
| 20611 | <1% | 246 | $13K | |
| 20526 | <1% | 223 | $12K | |
| 29848 | <1% | 41 | $10K | |
| 99242 | <1% | 147 | $10K | |
| 64721 | <1% | 25 | $8K | |
| 72082 | <1% | 113 | $7K | |
| 73080 | <1% | 287 | $7K | |
| 73502 | <1% | 214 | $7K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13,882 | $6K |
| 72110 | <1% | 86 | $4K | |
| 25600 | <1% | 15 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 70 | $2K |
| 73100 | <1% | 52 | $2K | |
| 20600 | <1% | 64 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 73140 | <1% | 65 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 73 | $975.33 |
| 73560 | <1% | 13 | $394.32 | |
| 72100 | <1% | 13 | $291.30 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,236 | $260.04 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 269 | $0.00 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 356 | $0.00 |
| 99024 | 0% | 76 | $0.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 810 | $0.00 |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 0% | 35 | $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 officialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent organizationLEHIGH VALLEY PHYSICIAN GROUP
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.