Physician
Lehigh Valley Physician Group
Lehigh Valley Physician Group was paid $743K by Medicaid between Jul 2019 and Nov 2024, across 19 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 74% of everything it billed.
33Billing provider infoLEHIGH VALLEY PHYSICIAN GROUP
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1861753568assigned 05/30/2012
33bProvider typePulmonary Disease Physician
28Total paid$743K
24GClaims10,496
24DCodes billed19
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#3 of 137
Median peer was paid$7K
This provider vs. median104×
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 | |
|---|---|---|---|
| 2019 | 13 | $6.42 | |
| 2020 | 647 | $56K | |
| 2021 | 2,749 | $221K | |
| 2022 | 2,379 | $165K | |
| 2023 | 2,868 | $193K | |
| 2024incomplete | 1,840 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 74% | 4,248 | 2,313 | $549K |
| 95806 | 8.0% | 1,215 | 1,193 | $59K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 965 | 939 | $34K |
| 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 | 3.3% | 511 | 505 | $24K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.7% | 226 | 225 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 181 | 180 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.5% | 260 | 259 | $11K |
| 94726 | 1.2% | 886 | 874 | $9K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 289 | 130 | $9K |
| 94729 | <1% | 1,035 | 1,024 | $7K | |
| 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 | <1% | 28 | 28 | $2K |
| 94375 | <1% | 135 | 134 | $2K |
7 more codes
| 94060 | <1% | 266 | $2K | |
| 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% | 52 | $1K |
| 94010 | <1% | 86 | $508.63 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $396.00 |
| 94618 | <1% | 12 | $288.65 | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 12 | $140.92 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 75 | $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 | $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.