Medicaid Provider Spending

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

NPI: 1366897241 · CHESTER, PA 19013 · Clinic/Center · NPI assigned 04/28/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$5.46M
Total Medicaid Paid
131,081
Total Claims
66,923
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date04/28/2016

Related Entities

Other providers sharing the same authorized official: ELDERS, ROBERT

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $11K
2019 1,490 $124K
2020 25,298 $3K
2021 49,836 $905K
2022 26,966 $1.79M
2023 16,362 $1.66M
2024 10,883 $975K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 48,174 17,061 $2.41M
90792 Psychiatric diagnostic evaluation with medical services 7,104 5,622 $1.07M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,028 9,306 $681K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,706 6,214 $412K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16,819 14,281 $306K
90853 Group psychotherapy (other than of a multiple-family group) 8,817 2,518 $149K
90837 Psychotherapy, 53 minutes with patient 1,045 720 $132K
90832 Psychotherapy, 30 minutes with patient 6,541 3,801 $128K
H2012 Behavioral health day treatment, per hour 2,471 182 $119K
H2010 Comprehensive medication services, per 15 minutes 1,046 834 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 157 153 $14K
H0034 Medication training and support, per 15 minutes 325 304 $14K
90847 Family psychotherapy with the patient present, 50 minutes 314 200 $10K
H2019 Therapeutic behavioral services, per 15 minutes 254 44 $0.00
T1017 Targeted case management, each 15 minutes 21,280 5,683 $0.00