Medicaid Provider Spending

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

LEHIGH VALLEY HOSPITAL

NPI: 1952954307 · ALLENTOWN, PA 18103 · Children's Hospital · NPI assigned 07/24/2019

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

Authorized official THOMAS, ROBERT controls 20+ related entities in our dataset. Read more

$10.00M
Total Medicaid Paid
68,959
Total Claims
61,000
Beneficiaries
68
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, ROBERT (REGIONAL CFO)
NPI Enumeration Date07/24/2019

Related Entities

Other providers sharing the same authorized official: THOMAS, ROBERT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,160 $389K
2021 15,344 $2.88M
2022 11,163 $1.96M
2023 19,500 $2.61M
2024 19,792 $2.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 13,836 13,672 $3.81M
99283 Emergency department visit for the evaluation and management, moderate severity 17,610 17,278 $3.28M
G0378 Hospital observation service, per hour 705 659 $1.73M
T1015 Clinic visit/encounter, all-inclusive 5,452 1,666 $294K
D2930 Prefabricated stainless steel crown - primary tooth 160 159 $225K
42820 Tonsillectomy and adenoidectomy; younger than age 12 159 158 $145K
54161 341 341 $125K
14040 64 64 $88K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 110 110 $51K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 527 526 $37K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 125 123 $31K
D1120 Prophylaxis - child 108 108 $27K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 175 145 $24K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 80 76 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,511 2,944 $19K
54360 12 12 $14K
54300 43 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 105 105 $11K
80053 Comprehensive metabolic panel 1,109 992 $10K
92523 67 67 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 169 146 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 14 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 16 16 $4K
82728 339 316 $4K
87631 13 13 $3K
85045 471 418 $2K
96375 Therapeutic injection; each additional sequential IV push 72 56 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 63 61 $2K
96409 20 12 $940.44
82947 281 272 $885.30
81003 294 278 $662.08
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 32 28 $604.84
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15 14 $600.97
85027 71 70 $560.92
85652 165 156 $372.55
86140 168 158 $359.76
84466 13 13 $211.34
71046 Radiologic examination, chest; 2 views 15 15 $167.72
J7050 Infusion, normal saline solution, 250 cc 1,292 955 $163.60
G0008 Administration of influenza virus vaccine 17 16 $131.61
83540 13 13 $105.10
J7030 Infusion, normal saline solution , 1000 cc 1,767 1,550 $98.85
81001 29 27 $75.86
36415 Collection of venous blood by venipuncture 97 86 $71.23
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,993 2,606 $52.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,560 2,343 $38.52
J7120 Ringers lactate infusion, up to 1000 cc 2,333 2,230 $32.31
90688 32 32 $27.09
J2704 Injection, propofol, 10 mg 2,044 1,798 $15.40
J3010 Injection, fentanyl citrate, 0.1 mg 2,277 2,242 $1.41
J1885 Injection, ketorolac tromethamine, per 15 mg 1,282 1,214 $1.23
A9270 Non-covered item or service 2,033 1,105 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 64 55 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 515 473 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 40 36 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 60 49 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 62 58 $0.00
D1206 Topical application of fluoride varnish 65 65 $0.00
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 13 13 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 64 41 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 778 766 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 868 851 $0.00
J7510 Prednisolone oral, per 5 mg 447 425 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 274 256 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 32 28 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 45 41 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 311 308 $0.00
J1756 Injection, iron sucrose, 1 mg 22 14 $0.00