Lehigh Valley Physician Group

Lehigh Valley Physician Group was paid $87K by Medicaid between Oct 2020 and Feb 2023, across 7 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 53% of everything it billed.

33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103

33aNPI1780155689assigned 12/17/2018

33bProvider typeDevelopmental - Behavioral Pediatrics Physician

28Total paid$87K

24GClaims998

24DCodes billed7

24AFirst – last monthOct 2020 – Feb 2023

Compared with peers

Next to other Developmental - Behavioral Pediatrics Physician providers in Pennsylvania

Rank by total paid#4 of 6

Median peer was paid$87K

This provider vs. median1.0×

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.

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
2020	315	$26K
2021	471	$61K
2022	176	$397.76
2023	36	$131.25

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	53%	461	453	$46K
99245		16%	52	52	$14K
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	16%	177	176	$14K
99244	Office or other outpatient consultation, moderate to high complexity	12%	40	40	$10K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	1.2%	39	39	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	145	134	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.1%	84	81	$994.34

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 officialDEMJAN, REBECCA (ENROLLMENT LIAISON)

Parent organizationLEHIGH PHYSICIAN GROUP