Prospect CCMC, LLC

Prospect CCMC, LLC was paid $5.03M by Medicaid between Aug 2021 and Dec 2024, across 1 billing code. Its largest line is T1017, case management, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoPROSPECT CCMC, LLC
CHESTER, PA 19013

33aNPI1265889257assigned 05/19/2016

33bProvider typeCase Management Agency

28Total paid$5.03M

24GClaims44,584

24DCodes billed1

24AFirst – last monthAug 2021 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Pennsylvania

Rank by total paid#73 of 206

Median peer was paid$2.13M

This provider vs. median2.4×

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.

Single-Code Concentration100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

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
2021	7,449	$733K
2022	13,431	$1.44M
2023	12,051	$1.33M
2024incomplete	11,653	$1.53M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	100%	44,584	11,890	$5.03M

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	$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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.