Medicaid Provider Spending

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

PENN FOUNDATION INC

NPI: 1073572715 · SELLERSVILLE, PA 18960 · Community/Behavioral Health Agency · NPI assigned 03/21/2006

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

Authorized official MUGRAUER, WAYNE controls 14+ related entities in our dataset. Read more

$8.28M
Total Medicaid Paid
28,685
Total Claims
2,860
Beneficiaries
6
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUGRAUER, WAYNE (CHIEF EXECUTIVE OFFICER PRESIDENT)
NPI Enumeration Date03/21/2006

Related Entities

Other providers sharing the same authorized official: MUGRAUER, WAYNE

ProviderCityStateTotal Paid
PENN FOUNDATION, INC. SOUDERTON PA $8.63M
PENN FOUNDATION, INC. SELLERSVILLE PA $6.09M
PENN FOUNDATION INC SUITE 507 PA $5.62M
PENN FOUNDATION, INC. SELLERSVILLE PA $5.42M
PENN FOUNDATION, INC. SELLERSVILLE PA $5.23M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.53M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.49M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.19M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.28M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.18M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.10M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.07M
PENN FOUNDATION, INC. SELLERSVILLE PA $882K
PENN FOUNDATION, INC. SELLERSVILLE PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $2K
2019 100 $5K
2020 148 $8K
2021 60 $138.16
2022 6,597 $1.35M
2023 11,861 $3.77M
2024 9,881 $3.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 27,661 1,980 $8.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 562 539 $20K
90834 Psychotherapy, 45 minutes with patient 286 177 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 67 66 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 94 83 $813.55
90832 Psychotherapy, 30 minutes with patient 15 15 $79.74