Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Penn Foundation INC

Penn Foundation INC was paid $8.28M by Medicaid between Jun 2018 and Dec 2024, across 6 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 100% of everything it billed.

33Billing provider infoPENN FOUNDATION INC
SELLERSVILLE, PA 18960
33aNPI1073572715assigned 03/21/2006
28Total paid$8.28M
24GClaims28,685
24DCodes billed6
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#76 of 517
Median peer was paid$1.23M
This provider vs. median6.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MUGRAUER, WAYNE controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201838$2K
2019100$5K
2020148$8K
202160$138.16
20226,597$1.35M
202311,861$3.77M
2024incomplete9,881$3.14M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2036 Alcohol and/or other drug treatment program, per diem 100% 27,661 1,980 $8.24M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 562 539 $20K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 286 177 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 67 66 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 94 83 $813.55
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 15 15 $79.74

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 officialMUGRAUER, WAYNE (CHIEF EXECUTIVE OFFICER PRESIDENT)
Same official

Other billing entities under MUGRAUER, WAYNE

Full network →
ProviderLocationPaid
Penn Foundation, INC.Souderton, PA$8.63M
Penn Foundation, INC.Sellersville, PA$6.09M
Penn Foundation INCSuite 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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.