Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lehigh Valley Physician Group (NPI 1649289141)

Field	Value
Entity Type	Organization
Organization	Lehigh Valley Physician Group
Address	1200 S Cedar Crest Blvd
City	Allentown
State	PA
ZIP	18103
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicaid	$16.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	124,650	$80	$9.6M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	73,420	$80	$5.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8,450	$60	$481.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,520	$30	$119.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1,500	$30	$51K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,060	$50	$47.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	90	$150	$13K
99201	Deleted code, effective Jan. 1, 2021	90	$20	$2K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	30	$60	$1.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

Lehigh Valley Physician Group — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	4	1,600	270	$120	$409.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	114	1,060	150	$130	$405.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3	1,230	250	$130	$284K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	67	340	250	$80	$89K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	123	250	80	$140	$74.1K
99201	Deleted code, effective Jan. 1, 2021	61	110	150	$80	$61.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	63	1,630	90	$30	$22K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	96	160	40	$100	$18.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	22	370	40	$30	$8.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lehigh Valley Physician Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lehigh Valley Hospital	PA	General Acute Care Hospital	$0	$64.3M
Lehigh Valley Physician Group	PA	Family Medicine Physician	$0	$21.9M
Lehigh Valley Hospital Pocono	PA	General Acute Care Hospital	$0	$11.9M
Family Care Centers Inc.	PA	Internal Medicine Physician	$0	$11.1M
Hazleton Professional Services	PA	Internal Medicine Physician	$0	$8.3M
Lehigh Valley Physician Group	PA	Pediatrics Physician	$0	$7.6M
Family Care Centers Inc	PA	Family Medicine Physician	$0	$6.1M
Lehigh Valley Physician Group	PA	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$5.9M
Eugene Grady	PA	Rheumatology Physician	$1.7M	$980
Joseph Zaladonis	PA	Specialist	$1.4M	$0

Nearby Providers

Other providers in the same ZIP code as Lehigh Valley Physician Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Home Health Care & Nursing Services Inc.	PA	Home Health Agency	$0	$12.1M
Lehigh Valley Hospital	PA	Children's Hospital	$0	$10M
Efcc Acquisition Corp	PA	Home Health Agency	$0	$9.6M
Medical Imaging Of Lehigh Valley PC	PA	Diagnostic Radiology Physician	$0	$9.5M
Masayuki Kazahaya	PA	Ophthalmology Physician	$3.7M	$0
Ya-yu Lee	PA	Endocrinology, Diabetes & Metabolism Physician	$831K	$0
Neil Feldman	PA	Allergy Physician	$808K	$1.6K
Susan Kim	PA	Rheumatology Physician	$770.1K	$0
Steven Oberlender	PA	MOHS-Micrographic Surgery Physician	$760K	$0
David De Rose	PA	Ophthalmology Physician	$715.7K	$0

Lehigh Valley Physician Group — Billing Profile & Reimbursement Data

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Lehigh Valley Physician Group — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References