Medicaid Provider Spending

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

PENN FOUNDATION INC

NPI: 1265500185 · SUITE 507, PA 19464 · Community/Behavioral Health Agency · NPI assigned 11/30/2006

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

100% of spending on code H0039 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

$5.62M
Total Medicaid Paid
54,067
Total Claims
6,683
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMUGRAUER, WAYNE (PRESIDENT/CEO)
NPI Enumeration Date11/30/2006

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. 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 $1.07M
PENN FOUNDATION, INC. SELLERSVILLE PA $882K
PENN FOUNDATION, INC. SELLERSVILLE PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,295 $0.00
2021 12,823 $674K
2022 12,704 $1.58M
2023 12,806 $1.71M
2024 12,439 $1.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0039 Assertive community treatment, face-to-face, per 15 minutes 54,067 6,683 $5.62M