Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › CHESTER › PROSPECT HEALTH ACCESS NETWORK, INC.

PROSPECT HEALTH ACCESS NETWORK, INC.

NPI: 1154776797 · CHESTER, PA 19013 · Diagnostic Radiology Physician · NPI assigned 05/02/2016

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

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

$107K
Total Medicaid Paid
4,929
Total Claims
4,430
Beneficiaries
45
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date05/02/2016

Related Entities

Other providers sharing the same authorized official: ELDERS, ROBERT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 4,929 $107K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 494 494 $15K
74177 Computed tomography, abdomen and pelvis; with contrast material 184 181 $13K
77063 Screening digital breast tomosynthesis, bilateral 494 494 $12K
70450 Computed tomography, head or brain; without contrast material 266 251 $11K
71045 Radiologic examination, chest; single view 1,088 704 $8K
71275 Computed tomographic angiography, chest, with contrast material 54 54 $5K
77066 Tomosynthesis, mammo 100 100 $4K
72125 Computed tomography, cervical spine; without contrast material 76 75 $4K
76642 135 128 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material 66 64 $4K
71046 Radiologic examination, chest; 2 views 362 356 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 31 30 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 129 129 $2K
77062 72 72 $2K
76801 47 47 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 31 30 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 72 71 $1K
76830 Ultrasound, transvaginal 98 98 $1K
74178 14 14 $1K
70551 Magnetic resonance imaging, brain; without contrast material 19 18 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 21 21 $922.56
73030 136 129 $875.99
71250 18 16 $807.84
73630 119 111 $716.68
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 18 17 $714.99
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 30 28 $675.00
72100 96 95 $669.19
73221 13 13 $668.36
73564 84 77 $658.02
72141 15 15 $657.09
74018 92 66 $608.50
73130 67 60 $396.58
93970 13 12 $390.12
73610 60 59 $359.52
73562 53 46 $312.14
93971 16 16 $306.55
73502 57 57 $298.96
73590 30 29 $217.99
76770 17 17 $213.50
72040 26 26 $189.33
76536 31 31 $183.73
73560 36 30 $165.03
73090 24 24 $160.38
77080 12 12 $109.32
73110 13 13 $67.50