Hospital
Lehigh Valley Hospital
Lehigh Valley Hospital was paid $10.00M by Medicaid between Jan 2020 and Dec 2024, across 68 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.
33Billing provider infoLEHIGH VALLEY HOSPITAL
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1952954307assigned 07/24/2019
33bProvider typeChildren's Hospital
28Total paid$10.00M
24GClaims68,959
24DCodes billed68
24AFirst – last monthJan 2020 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official THOMAS, ROBERT 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 | |
|---|---|---|---|
| 2020 | 3,160 | $389K | |
| 2021 | 15,344 | $2.88M | |
| 2022 | 11,163 | $1.96M | |
| 2023 | 19,500 | $2.61M | |
| 2024incomplete | 19,792 | $2.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 38% | 13,836 | 13,672 | $3.81M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 33% | 17,610 | 17,278 | $3.28M |
| G0378 | Hospital observation service, per hour | 17% | 705 | 659 | $1.73M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 2.9% | 5,452 | 1,666 | $294K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.3% | 160 | 159 | $225K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.5% | 159 | 158 | $145K |
| 54161 | 1.2% | 341 | 341 | $125K | |
| 14040 | <1% | 64 | 64 | $88K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 110 | 110 | $51K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 527 | 526 | $37K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 125 | 123 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 108 | 108 | $27K |
56 more codes
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 175 | $24K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | <1% | 80 | $24K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,511 | $19K |
| 54360 | <1% | 12 | $14K | |
| 54300 | <1% | 43 | $11K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 105 | $11K |
| 80053 | Comprehensive metabolic panel | <1% | 1,109 | $10K |
| 92523 | <1% | 67 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 169 | $5K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $5K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 16 | $4K |
| 82728 | <1% | 339 | $4K | |
| 87631 | <1% | 13 | $3K | |
| 85045 | <1% | 471 | $2K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 72 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 63 | $2K |
| 96409 | <1% | 20 | $940.44 | |
| 82947 | <1% | 281 | $885.30 | |
| 81003 | <1% | 294 | $662.08 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 32 | $604.84 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 15 | $600.97 |
| 85027 | <1% | 71 | $560.92 | |
| 85652 | <1% | 165 | $372.55 | |
| 86140 | <1% | 168 | $359.76 | |
| 84466 | <1% | 13 | $211.34 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 15 | $167.72 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 1,292 | $163.60 |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | $131.61 |
| 83540 | <1% | 13 | $105.10 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,767 | $98.85 |
| 81001 | <1% | 29 | $75.86 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 97 | $71.23 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 2,993 | $52.44 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,560 | $38.52 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 2,333 | $32.31 |
| 90688 | <1% | 32 | $27.09 | |
| J2704 | Injection, propofol, 10 mg | <1% | 2,044 | $15.40 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 2,277 | $1.41 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,282 | $1.23 |
| A9270 | Non-covered item or service | 0% | 2,033 | $0.00 |
| J7042 | 5% dextrose/normal saline (500 ml = 1 unit) | 0% | 64 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 515 | $0.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 0% | 40 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 60 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 62 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 65 | $0.00 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 13 | $0.00 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 0% | 64 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 778 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 868 | $0.00 |
| J7510 | Prednisolone oral, per 5 mg | 0% | 447 | $0.00 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 0% | 274 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 32 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 45 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 311 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 22 | $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 officialTHOMAS, ROBERT (REGIONAL CFO)
| Provider | Location | Paid |
|---|---|---|
| Millennium Health, LLC | San Diego, CA | $579.29M |
| Lehigh Valley Hospital | Allentown, PA | $64.40M |
| Lehigh Valley Hospital Pocono | East Stroudsburg, PA | $11.90M |
| Lehigh Valley Hospital Hazleton | Hazleton, PA | $11.69M |
| Lehigh Valley Hospital - Schuylkill | Pottsville, PA | $6.83M |
| Lehigh Valley Hospital- Pocono | Dickson City, PA | $3.75M |
| Lehigh Valley Hospital | Allentown, PA | $2.90M |
| Lehigh Valley Hospital | Allentown, PA | $1.95M |
| Lehigh Valley Hospital, INC | Allentown, PA | $1.85M |
| Lehigh Valley Hospital | Allentown, PA | $1.40M |
| Lehigh Valley Hospital - Schuylkill | Saint Clair, PA | $744K |
| Maryland Wound & Amputation Prevention, LLC | Lutherville, MD | $399K |
| Robert L Thomas MD FCCP LLC | Walterboro, SC | $253K |
| A-One Home Health Services, LLC | Everett, WA | $236K |
| Avamere Home Health Care, LLC | Bellingham, WA | $234K |
| Lehigh Valley Hospital Schuylkill | Pottsville, PA | $218K |
| Lehigh Valley Hospital Hazleton | Hazleton, PA | $193K |
| Prime Home Health, LLC | Federal Way, WA | $115K |
| Lehigh Valley Hospital | Allentown, PA | $70K |
| Northwest Hospice LLC | Tigard, OR | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.