Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $491K by Medicaid between Aug 2018 and Dec 2024, across 22 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 25% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
FOGELSVILLE, PA 18051
FOGELSVILLE, PA 18051
33aNPI1770772295assigned 10/22/2007
33bProvider typeOphthalmology Physician
28Total paid$491K
24GClaims11,245
24DCodes billed22
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#18 of 288
Median peer was paid$7K
This provider vs. median71×
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 | 13 | $346.28 | |
| 2019 | 70 | $630.17 | |
| 2020 | 311 | $14K | |
| 2021 | 2,965 | $119K | |
| 2022 | 2,867 | $127K | |
| 2023 | 2,679 | $132K | |
| 2024incomplete | 2,340 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 25% | 1,402 | 1,268 | $125K |
| 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 | 25% | 2,690 | 2,630 | $122K |
| 92134 | 13% | 2,079 | 2,013 | $63K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 1,080 | 1,023 | $35K |
| 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 | 6.9% | 359 | 356 | $34K |
| 92133 | 4.8% | 806 | 795 | $24K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.1% | 768 | 722 | $20K |
| 92250 | 3.7% | 885 | 867 | $18K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.3% | 456 | 444 | $16K |
| 92083 | 2.8% | 262 | 257 | $14K | |
| 67228 | 1.3% | 12 | 12 | $6K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 111 | 69 | $4K |
10 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 62 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 38 | $2K |
| 92020 | <1% | 70 | $1K | |
| 92002 | <1% | 15 | $602.96 | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 14 | $564.51 |
| 92025 | <1% | 25 | $550.38 | |
| 76514 | <1% | 56 | $490.28 | |
| 92082 | <1% | 14 | $386.45 | |
| 92136 | <1% | 13 | $241.80 | |
| J0178 | Injection, aflibercept, 1 mg | 0% | 28 | $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 | $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.