Medicaid Provider Spending

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

PROSPECT CCMC, LLC

NPI: 1154785848 · CHESTER, PA 19013 · Ambulatory Surgical Clinic/Center · NPI assigned 04/08/2016

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

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

$396K
Total Medicaid Paid
8,024
Total Claims
6,777
Beneficiaries
22
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date04/08/2016

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
2020 900 $26K
2021 1,759 $370K
2022 263 $0.00
2023 2,707 $0.00
2024 2,395 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 73 63 $177K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 111 103 $161K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $21K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 16 16 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 553 532 $8K
J3490 Unclassified drugs 1,906 962 $6K
J2704 Injection, propofol, 10 mg 1,107 1,077 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 501 483 $688.11
J3010 Injection, fentanyl citrate, 0.1 mg 766 654 $154.96
88305 Level IV - Surgical pathology, gross and microscopic examination 54 54 $146.00
J0690 Injection, cefazolin sodium, 500 mg 117 113 $61.92
J2250 Injection, midazolam hydrochloride, per 1 mg 549 535 $32.66
J7120 Ringers lactate infusion, up to 1000 cc 799 754 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 432 421 $0.00
01999 278 268 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 77 76 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 388 377 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 113 109 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 112 111 $0.00
J1170 Injection, hydromorphone, up to 4 mg 14 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 32 31 $0.00
85027 14 13 $0.00