Clinic
Prospect CCMC, LLC
Prospect CCMC, LLC was paid $396K by Medicaid between Jan 2020 and Nov 2024, across 22 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 45% of everything it billed.
33Billing provider infoPROSPECT CCMC, LLC
CHESTER, PA 19013
CHESTER, PA 19013
33aNPI1154785848assigned 04/08/2016
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$396K
24GClaims8,024
24DCodes billed22
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#28 of 119
Median peer was paid$57K
This provider vs. median6.9×
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 | |
|---|---|---|---|
| 2020 | 900 | $26K | |
| 2021 | 1,759 | $370K | |
| 2022 | 263 | $0.00 | |
| 2023 | 2,707 | $0.00 | |
| 2024incomplete | 2,395 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 45% | 73 | 63 | $177K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 41% | 111 | 103 | $161K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.2% | 12 | 12 | $21K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.9% | 16 | 16 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.1% | 553 | 532 | $8K |
| J3490 | Unclassified drugs | 1.4% | 1,906 | 962 | $6K |
| J2704 | Injection, propofol, 10 mg | <1% | 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 | <1% | 501 | 483 | $688.11 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 766 | 654 | $154.96 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 54 | 54 | $146.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 117 | 113 | $61.92 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 549 | 535 | $32.66 |
10 more codes
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 799 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 432 | $0.00 |
| 01999 | 0% | 278 | $0.00 | |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 77 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 388 | $0.00 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 0% | 113 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 112 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 14 | $0.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 0% | 32 | $0.00 |
| 85027 | 0% | 14 | $0.00 |
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.