Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Prospect Health Access Network, INC.

Prospect Health Access Network, INC. was paid $245K by Medicaid between Nov 2020 and Nov 2024, across 4 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 75% of everything it billed.

33Billing provider infoPROSPECT HEALTH ACCESS NETWORK, INC.
CHESTER, PA 19013
33aNPI1285081703assigned 05/16/2016
28Total paid$245K
24GClaims6,534
24DCodes billed4
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Pennsylvania

Rank by total paid#12 of 163
Median peer was paid$15K
This provider vs. median16×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020217$9K
20212,035$83K
20221,899$73K
20231,504$54K
2024incomplete879$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 75% 5,104 4,605 $183K
88307 20% 948 913 $49K
88342 5.1% 441 414 $13K
88304 <1% 41 39 $507.52

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 →
ProviderLocationPaid
Prospect Waterbury, INC.Waterbury, CT$84.62M
Prospect Manchester Hospital, INC.Manchester, CT$69.20M
Prospect Chartercare RWMC, LLCProvidence, RI$57.10M
Prospect CCMC, LLCChester, PA$40.89M
Prospect CT Medical Foundation, INC.Manchester, CT$34.07M
Prospect Rockville Hospital, INC.Vernon, CT$30.06M
Prospect Chartercare Sjhsri, LLCNorth Providence, RI$10.94M
Prospect DCMH, LLCDrexel Hill, PA$10.37M
Prospect CCMC, LLCChester, PA$5.46M
Alta Los Angeles Hospitals, INC.Los Angeles, CA$5.42M
Prospect CCMC, LLCChester, PA$5.03M
Prospect CCMC, LLCChester, PA$3.71M
Prospect Chartercare Physicians, LLCCranston, 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, LLCTustin, CA$1.16M
Prospect Health Access Network, INC.Crum Lynne, PA$924K
Prospect Health Access Network, INC.Chester, PA$872K
Prospect Chartercare Sjhsri, LLCNorth Providence, RI$858K

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