Penn Foundation, INC.
Penn Foundation, INC. was paid $8.63M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is W7210, State-specific procedure code — 90% of everything it billed.
SOUDERTON, PA 18964
Next to other Case Management Agency 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 | 19,225 | $1.32M | |
| 2019 | 19,749 | $1.35M | |
| 2020 | 21,144 | $1.40M | |
| 2021 | 18,862 | $1.28M | |
| 2022 | 17,778 | $1.30M | |
| 2023 | 14,140 | $1.05M | |
| 2024incomplete | 11,741 | $914K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| W7210 | State-specific procedure code | 90% | 110,552 | 27,234 | $7.73M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 10% | 12,087 | 4,332 | $899K |
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
| Provider | Location | Paid |
|---|---|---|
| Penn Foundation INC | Sellersville, PA | $8.28M |
| Penn Foundation, INC. | Sellersville, PA | $6.09M |
| Penn Foundation INC | Suite 507, PA | $5.62M |
| Penn Foundation, INC. | Sellersville, PA | $5.42M |
| Penn Foundation, INC. | Sellersville, PA | $5.23M |
| Penn Foundation, INC. | Sellersville, PA | $2.53M |
| Penn Foundation, INC. | Sellersville, PA | $2.49M |
| Penn Foundation, INC. | Sellersville, PA | $2.19M |
| Penn Foundation, INC. | Sellersville, PA | $1.28M |
| Penn Foundation, INC. | Sellersville, PA | $1.18M |
| Penn Foundation, INC. | Sellersville, PA | $1.10M |
| Penn Foundation, INC. | Sellersville, PA | $1.07M |
| Penn Foundation, INC. | Sellersville, PA | $882K |
| Penn Foundation, INC. | Sellersville, PA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.