Medicaid Provider Spending

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

PENN FOUNDATION, INC.

NPI: 1104020049 · SELLERSVILLE, PA 18960 · Community/Behavioral Health Agency · NPI assigned 06/13/2007

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

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

$2.53M
Total Medicaid Paid
37,249
Total Claims
24,114
Beneficiaries
8
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUGRAUER, WAYNE (PRESIDENT)
NPI Enumeration Date06/13/2007

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 $8.28M
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 $2.49M
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
2020 4,142 $1K
2021 11,484 $298K
2022 8,621 $772K
2023 7,724 $793K
2024 5,278 $662K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 12,438 7,191 $1.08M
90834 Psychotherapy, 45 minutes with patient 13,130 7,877 $795K
90792 Psychiatric diagnostic evaluation with medical services 3,154 3,034 $236K
90853 Group psychotherapy (other than of a multiple-family group) 3,286 1,486 $157K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,709 2,393 $114K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 939 884 $107K
90832 Psychotherapy, 30 minutes with patient 1,544 1,201 $38K
H0014 Alcohol and/or drug services; ambulatory detoxification 49 48 $394.88