PROSPECT CCMC, LLC · NPI 1265889257

NPI: 1265889257 · CHESTER, PA 19013 · Case Management Agency · NPI assigned 05/19/2016

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$5.03M

Total Medicaid Paid

44,584

Total Claims

11,890

Beneficiaries

Codes Billed

2021-08

First Month

2024-12

Last Month

Provider Details

Authorized Official	ELDERS, ROBERT (SECRETARY)
NPI Enumeration Date	05/19/2016

Related Entities

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	$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
PROSPECT HEALTH ACCESS NETWORK, INC.	DREXEL HILL	PA	$815K

Monthly Spending Trend

Yearly Breakdown

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
T1017	Targeted case management, each 15 minutes	44,584	11,890	$5.03M