Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1952475808 · BETHLEHEM, PA 18017 · Pediatric Gastroenterology Physician · NPI assigned 11/20/2006

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

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

$895K
Total Medicaid Paid
7,498
Total Claims
7,403
Beneficiaries
7
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date11/20/2006

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 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
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $650K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 257 $26K
2021 1,671 $210K
2022 1,800 $242K
2023 2,065 $229K
2024 1,705 $188K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,930 4,862 $426K
99244 Office or other outpatient consultation, moderate to high complexity 1,743 1,735 $396K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 429 424 $27K
99243 159 153 $24K
99215 Prolong outpt/office vis 208 204 $18K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 13 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 12 $1K