Medicaid Provider Spending

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

PENN FOUNDATION, INC.

NPI: 1194900639 · SELLERSVILLE, PA 18960 · Community/Behavioral Health Agency · NPI assigned 01/03/2008

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0015 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MUGRAUER, WAYNE controls 14+ related entities in our dataset. Read more

$1.07M
Total Medicaid Paid
15,449
Total Claims
2,412
Beneficiaries
1
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUGRAUER, WAYNE (PRESIDENT/CEO)
NPI Enumeration Date01/03/2008

Related Entities

Other providers sharing the same authorized official: MUGRAUER, WAYNE

ProviderCityStateTotal Paid
PENN FOUNDATION, INC. SOUDERTON PA $8.63M
PENN FOUNDATION INC SELLERSVILLE PA $8.28M
PENN FOUNDATION, INC. SELLERSVILLE PA $6.09M
PENN FOUNDATION INC SUITE 507 PA $5.62M
PENN FOUNDATION, INC. SELLERSVILLE PA $5.42M
PENN FOUNDATION, INC. SELLERSVILLE PA $5.23M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.53M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.49M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.19M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.28M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.18M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.10M
PENN FOUNDATION, INC. SELLERSVILLE PA $882K
PENN FOUNDATION, INC. SELLERSVILLE PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,003 $1K
2021 6,483 $123K
2022 3,714 $426K
2023 2,519 $297K
2024 1,730 $219K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 15,449 2,412 $1.07M