Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › MANCHESTER › PROSPECT MANCHESTER HOSPITAL, INC.

PROSPECT MANCHESTER HOSPITAL, INC.

NPI: 1225484751 · MANCHESTER, CT 06040 · Clinical Social Worker · NPI assigned 05/13/2016

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

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

$339K
Total Medicaid Paid
24,902
Total Claims
6,780
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date05/13/2016

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
2018 9,557 $130K
2019 10,323 $136K
2020 5,022 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99231 Subsequent hospital care, per day, straightforward or low complexity 16,801 3,133 $155K
99232 Subsequent hospital care, per day, moderate complexity 2,761 489 $51K
99221 1,901 1,222 $49K
99238 Hospital discharge day management, 30 minutes or less 1,893 1,357 $41K
99233 Prolong inpt eval add15 m 1,187 330 $28K
99222 Initial hospital care, per day, moderate complexity 197 147 $9K
99223 Prolong inpt eval add15 m 70 40 $3K
99239 Hospital discharge day management, more than 30 minutes 92 62 $3K