Prospect CCMC, LLC
Prospect CCMC, LLC was paid $5.46M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 44% of everything it billed.
CHESTER, PA 19013
Next to other Clinic/Center providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 10,883 | $975K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 44% | 48,174 | 17,061 | $2.41M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 19% | 7,104 | 5,622 | $1.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 10,028 | 9,306 | $681K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.5% | 6,706 | 6,214 | $412K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.6% | 16,819 | 14,281 | $306K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.7% | 8,817 | 2,518 | $149K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.4% | 1,045 | 720 | $132K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 6,541 | 3,801 | $128K |
| H2012 | Behavioral health day treatment, per hour | 2.2% | 2,471 | 182 | $119K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 1,046 | 834 | $25K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 157 | 153 | $14K |
| H0034 | Medication training and support, per 15 minutes | <1% | 325 | 304 | $14K |
3 more codes
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.