Prospect Manchester Hospital, INC.

Prospect Manchester Hospital, INC. was paid $339K by Medicaid between Jan 2018 and Aug 2020, across 8 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 46% of everything it billed.

33Billing provider infoPROSPECT MANCHESTER HOSPITAL, INC.
MANCHESTER, CT 06040

33aNPI1225484751assigned 05/13/2016

33bProvider typeClinical Social Worker

28Total paid$339K

24GClaims24,902

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Clinical Social Worker providers in Connecticut

Rank by total paid#88 of 647

Median peer was paid$67K

This provider vs. median5.1×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	46%	16,801	3,133	$155K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	15%	2,761	489	$51K
99221		14%	1,901	1,222	$49K
99238	Hospital discharge day management, 30 minutes or less	12%	1,893	1,357	$41K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.3%	1,187	330	$28K
99222	Initial hospital care, per day, moderate complexity	2.6%	197	147	$9K
99223	Prolong inpt eval add15 m	<1%	70	40	$3K
99239	Hospital discharge day management, more than 30 minutes	<1%	92	62	$3K

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)

Same official

Other billing entities under ELDERS, ROBERT

Full network →

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.