Physician
Prospect Health Access Network, INC.
Prospect Health Access Network, INC. was paid $107K by Medicaid between Jul 2024 and Nov 2024, across 45 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 14% of everything it billed.
33Billing provider infoPROSPECT HEALTH ACCESS NETWORK, INC.
CHESTER, PA 19013
CHESTER, PA 19013
33aNPI1154776797assigned 05/02/2016
33bProvider typeDiagnostic Radiology Physician
28Total paid$107K
24GClaims4,929
24DCodes billed45
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other Diagnostic Radiology Physician providers in Pennsylvania
Rank by total paid#56 of 707
Median peer was paid$5K
This provider vs. median22×
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 ELDERS, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 4,929 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 14% | 494 | 494 | $15K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 12% | 184 | 181 | $13K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 11% | 494 | 494 | $12K |
| 70450 | Computed tomography, head or brain; without contrast material | 9.9% | 266 | 251 | $11K |
| 71045 | Radiologic examination, chest; single view | 7.6% | 1,088 | 704 | $8K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 4.5% | 54 | 54 | $5K |
| 77066 | Tomosynthesis, mammo | 3.9% | 100 | 100 | $4K |
| 72125 | Computed tomography, cervical spine; without contrast material | 3.8% | 76 | 75 | $4K |
| 76642 | 3.6% | 135 | 128 | $4K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 3.3% | 66 | 64 | $4K |
| 71046 | Radiologic examination, chest; 2 views | 2.4% | 362 | 356 | $3K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 2.0% | 31 | 30 | $2K |
33 more codes
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.8% | 129 | $2K |
| 77062 | 1.8% | 72 | $2K | |
| 76801 | 1.8% | 47 | $2K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 1.7% | 31 | $2K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.2% | 72 | $1K |
| 76830 | Ultrasound, transvaginal | 1.1% | 98 | $1K |
| 74178 | 1.1% | 14 | $1K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 19 | $1K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 21 | $922.56 |
| 73030 | <1% | 136 | $875.99 | |
| 71250 | <1% | 18 | $807.84 | |
| 73630 | <1% | 119 | $716.68 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 18 | $714.99 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 30 | $675.00 |
| 72100 | <1% | 96 | $669.19 | |
| 73221 | <1% | 13 | $668.36 | |
| 73564 | <1% | 84 | $658.02 | |
| 72141 | <1% | 15 | $657.09 | |
| 74018 | <1% | 92 | $608.50 | |
| 73130 | <1% | 67 | $396.58 | |
| 93970 | <1% | 13 | $390.12 | |
| 73610 | <1% | 60 | $359.52 | |
| 73562 | <1% | 53 | $312.14 | |
| 93971 | <1% | 16 | $306.55 | |
| 73502 | <1% | 57 | $298.96 | |
| 73590 | <1% | 30 | $217.99 | |
| 76770 | <1% | 17 | $213.50 | |
| 72040 | <1% | 26 | $189.33 | |
| 76536 | <1% | 31 | $183.73 | |
| 73560 | <1% | 36 | $165.03 | |
| 73090 | <1% | 24 | $160.38 | |
| 77080 | <1% | 12 | $109.32 | |
| 73110 | <1% | 13 | $67.50 |
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 officialELDERS, ROBERT (SECRETARY)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.