Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1770772295 · FOGELSVILLE, PA 18051 · Ophthalmology Physician · NPI assigned 10/22/2007

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

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

$491K
Total Medicaid Paid
11,245
Total Claims
10,784
Beneficiaries
22
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date10/22/2007

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $346.28
2019 70 $630.17
2020 311 $14K
2021 2,965 $119K
2022 2,867 $127K
2023 2,679 $132K
2024 2,340 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
67028 Intravitreal injection of a pharmacologic agent 1,402 1,268 $125K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,690 2,630 $122K
92134 2,079 2,013 $63K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,080 1,023 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 359 356 $34K
92133 806 795 $24K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 768 722 $20K
92250 885 867 $18K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 456 444 $16K
92083 262 257 $14K
67228 12 12 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 111 69 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 62 62 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38 38 $2K
92020 70 69 $1K
92002 15 15 $602.96
J9035 Injection, bevacizumab, 10 mg 14 12 $564.51
92025 25 24 $550.38
76514 56 55 $490.28
92082 14 13 $386.45
92136 13 13 $241.80
J0178 Injection, aflibercept, 1 mg 28 27 $0.00