PROSPECT HEALTH ACCESS NETWORK, INC.

NPI: 1104273614 · CHESTER, PA 19013 · Gastroenterology Physician · NPI assigned 05/16/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more

$131K

Total Medicaid Paid

2,372

Total Claims

2,311

Beneficiaries

Codes Billed

2020-12

First Month

2024-11

Last Month

Provider Details

Authorized Official	ELDERS, ROBERT (SECRETARY)
NPI Enumeration Date	05/16/2016

Other providers sharing the same authorized official: ELDERS, ROBERT

Provider	City	State	Total Paid
PROSPECT WATERBURY, INC.	WATERBURY	CT	$84.62M
PROSPECT MANCHESTER HOSPITAL, INC.	MANCHESTER	CT	$69.20M
PROSPECT CHARTERCARE RWMC, LLC	PROVIDENCE	RI	$57.10M
PROSPECT CCMC, LLC	CHESTER	PA	$40.89M
PROSPECT CT MEDICAL FOUNDATION, INC.	MANCHESTER	CT	$34.07M
PROSPECT ROCKVILLE HOSPITAL, INC.	VERNON	CT	$30.06M
PROSPECT CHARTERCARE SJHSRI, LLC	NORTH PROVIDENCE	RI	$10.94M
PROSPECT DCMH, LLC	DREXEL HILL	PA	$10.37M
PROSPECT CCMC, LLC	CHESTER	PA	$5.46M
ALTA LOS ANGELES HOSPITALS, INC.	LOS ANGELES	CA	$5.42M
PROSPECT CCMC, LLC	CHESTER	PA	$5.03M
PROSPECT CCMC, LLC	CHESTER	PA	$3.71M
PROSPECT CHARTERCARE PHYSICIANS, LLC	CRANSTON	RI	$2.31M
PROSPECT ECHN HOME HEALTH, INC.	VERNON	CT	$1.75M
PROSPECT WATERBURY HOME HEALTH, INC.	WATERTOWN	CT	$1.30M
PROSPECT HEALTH ACCESS NETWORK, INC.	CHESTER	PA	$1.22M
ALTA NEWPORT HOSPITAL, LLC	TUSTIN	CA	$1.16M
PROSPECT HEALTH ACCESS NETWORK, INC.	CRUM LYNNE	PA	$924K
PROSPECT HEALTH ACCESS NETWORK, INC.	CHESTER	PA	$872K
PROSPECT CHARTERCARE SJHSRI, LLC	NORTH PROVIDENCE	RI	$858K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	863	847	$47K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	905	895	$30K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	262	260	$27K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	86	84	$9K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	144	144	$9K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	25	25	$7K
99231	Subsequent hospital care, per day, straightforward or low complexity	87	56	$2K