PROSPECT HEALTH ACCESS NETWORK, INC.

NPI: 1255786729 · DREXEL HILL, PA 19026 · Obstetrics & Gynecology Physician · NPI assigned 05/03/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$815K

Total Medicaid Paid

21,270

Total Claims

19,474

Beneficiaries

Codes Billed

2020-10

First Month

2024-10

Last Month

Provider Details

Authorized Official	ELDERS, ROBERT (SECRETARY)
NPI Enumeration Date	05/03/2016

Other providers sharing the same authorized official: ELDERS, ROBERT

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12,598	11,510	$703K
0502F		6,029	5,347	$60K
99429		93	92	$15K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	354	349	$10K
90715		545	543	$7K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	142	141	$7K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	584	577	$5K
87210		431	429	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24	24	$2K
90686		188	186	$2K
81025		133	133	$666.92
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	14	14	$442.73
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12	12	$407.27
36415	Collection of venous blood by venipuncture	84	78	$286.00
0500F		13	13	$130.00
3725F		26	26	$0.26