PROSPECT HEALTH ACCESS NETWORK, INC.

NPI: 1154777837 · CHESTER, PA 19013 · Maternal & Fetal Medicine Physician · NPI assigned 05/11/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$872K

Total Medicaid Paid

16,714

Total Claims

13,870

Beneficiaries

Codes Billed

2020-10

First Month

2024-11

Last Month

Provider Details

Authorized Official	ELDERS, ROBERT (SECRETARY)
NPI Enumeration Date	05/11/2016

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 CHARTERCARE SJHSRI, LLC	NORTH PROVIDENCE	RI	$858K
PROSPECT HEALTH ACCESS NETWORK, INC.	DREXEL HILL	PA	$815K

Code	Description	Claims	Beneficiaries	Total Paid
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	5,125	4,836	$232K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	1,695	1,683	$226K
59025	Fetal non-stress test	4,150	2,344	$109K
76813		718	706	$82K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	1,349	1,340	$67K
76801		848	836	$57K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	1,008	823	$34K
76820		1,046	646	$31K
76819	Fetal biophysical profile; without non-stress testing	330	255	$17K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	110	94	$5K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	94	87	$5K
99241		80	79	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	58	46	$2K
76818		18	12	$2K
36415	Collection of venous blood by venipuncture	85	83	$329.39