Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $1.11M by Medicaid between May 2018 and Dec 2024, across 21 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 56% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1710059829assigned 11/14/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$1.11M
24GClaims92,849
24DCodes billed21
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Pennsylvania
Rank by total paid#8 of 592
Median peer was paid$3K
This provider vs. median353×
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 | |
|---|---|---|---|
| 2018 | 1,223 | $2K | |
| 2019 | 3,189 | $11K | |
| 2020 | 5,961 | $54K | |
| 2021 | 21,730 | $276K | |
| 2022 | 21,595 | $286K | |
| 2023 | 22,402 | $271K | |
| 2024incomplete | 16,749 | $209K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 56% | 80,740 | 71,179 | $615K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 30% | 7,870 | 7,760 | $335K |
| 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 | 7.0% | 1,423 | 1,373 | $78K |
| 93295 | 2.2% | 663 | 651 | $24K | |
| 93227 | 1.5% | 574 | 571 | $17K | |
| 93298 | 1.5% | 777 | 767 | $16K | |
| 93297 | <1% | 376 | 368 | $7K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 30 | 12 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 25 | 25 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 52 | 27 | $3K |
| 93294 | <1% | 62 | 59 | $955.10 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 14 | $704.91 |
9 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $634.20 |
| 93000 | <1% | 30 | $630.09 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 47 | $610.93 |
| 93018 | <1% | 29 | $504.41 | |
| 93016 | <1% | 13 | $307.46 | |
| 93296 | <1% | 69 | $226.99 | |
| 93308 | <1% | 15 | $221.78 | |
| 3074F | <1% | 14 | $80.00 | |
| 3078F | <1% | 12 | $30.00 |
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 | $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 | $1.09M |
| 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.