Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $498K by Medicaid between Sep 2020 and Dec 2024, across 13 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 39% of everything it billed.
ALLENTOWN, PA 18103
Next to other Family Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 366 | $12K | |
| 2021 | 1,497 | $59K | |
| 2022 | 1,883 | $88K | |
| 2023 | 2,443 | $159K | |
| 2024incomplete | 2,278 | $180K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 39% | 722 | 713 | $195K |
| 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 | 31% | 2,892 | 2,786 | $157K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 3,765 | 3,641 | $134K |
| 90686 | 1.1% | 681 | 677 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 91 | 88 | $2K |
| 91320 | <1% | 12 | 12 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 88 | 87 | $857.50 |
| 90656 | <1% | 76 | 76 | $543.66 | |
| 92551 | <1% | 87 | 87 | $535.44 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | 14 | $352.80 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 14 | $341.00 |
1 more codes
| 3078F | <1% | 12 | $40.00 |
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.
Who's on the registration
| 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 | $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 | Allentown, PA | $705K |
| Lehigh Valley Physician Group | Bethlehem, PA | $686K |
| Lehigh Valley Physician Group | Allentown, PA | $673K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.