Medicaid Provider Spending

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

LEHIGH VALLEY PHYSICIAN GROUP

NPI: 1962963199 · WHITEHALL, PA 18052 · Pediatrics Physician · NPI assigned 03/29/2019

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

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

$21.85M
Total Medicaid Paid
280,171
Total Claims
266,542
Beneficiaries
30
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHENS, JENNIFER (SR VP & CHIEF VALUE OFFICER)
Parent OrganizationLEHIGH VALLEY PHYSICIAN GROUP
NPI Enumeration Date03/29/2019

Related Entities

Other providers sharing the same authorized official: STEPHENS, JENNIFER

ProviderCityStateTotal Paid
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
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $650K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 887 $38K
2020 11,191 $848K
2021 67,960 $5.00M
2022 67,203 $5.21M
2023 69,646 $5.71M
2024 63,284 $5.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 180,665 172,535 $20.55M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,532 48,491 $678K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,965 9,305 $259K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,035 5,876 $156K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,170 11,539 $65K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,304 4,003 $44K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 7,367 7,047 $43K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,768 2,640 $42K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 154 145 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 204 196 $2K
99000 224 192 $792.83
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $608.19
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 51 49 $495.16
81003 622 608 $342.78
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 291 282 $248.71
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 230 192 $158.11
J1885 Injection, ketorolac tromethamine, per 15 mg 1,316 1,245 $10.86
3080F 38 37 $0.00
3079F 209 202 $0.00
3074F 159 150 $0.00
86580 89 79 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 694 682 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 661 642 $0.00
3075F 70 67 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 33 28 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 25 25 $0.00
T1015 Clinic visit/encounter, all-inclusive 54 53 $0.00
99421 46 40 $0.00
3078F 88 85 $0.00
3077F 81 81 $0.00