LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1669480034 · ALLENTOWN, PA 18103 · Family Medicine Physician · NPI assigned 08/03/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more

$190K

Total Medicaid Paid

4,714

Total Claims

4,529

Beneficiaries

Codes Billed

2020-10

First Month

2024-10

Last Month

Provider Details

Authorized Official	DEMOPOULOS, JAMES (SR VP)
Parent Organization	LEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date	08/03/2006

Other providers sharing the same authorized official: DEMOPOULOS, JAMES

Provider	City	State	Total 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	$157K
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

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2,440	2,322	$122K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,931	1,867	$65K
90686		281	278	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	13	13	$300.60
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	12	12	$295.30
92551		37	37	$276.48