Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1851799571 · BETHLEHEM, PA 18017 · Internal Medicine Physician · NPI assigned 12/11/2014

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

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

$411K
Total Medicaid Paid
12,016
Total Claims
11,248
Beneficiaries
17
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date12/11/2014

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 293 $51.27
2019 343 $1K
2020 391 $11K
2021 3,338 $109K
2022 3,368 $112K
2023 2,910 $113K
2024 1,373 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,548 6,290 $314K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,333 1,297 $46K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,557 1,288 $16K
99215 Prolong outpt/office vis 237 227 $13K
99308 Subsequent nursing facility care, per day, straightforward 944 757 $6K
90686 742 738 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 161 161 $3K
90715 44 44 $2K
G0008 Administration of influenza virus vaccine 226 226 $2K
91320 13 12 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 50 49 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $435.50
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 24 24 $380.46
3074F 31 29 $70.00
3078F 15 15 $30.00
90677 42 42 $0.00
90656 35 35 $0.00