Medicaid Provider Spending

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

NPI: 1376990366 · CHESTER, PA 19013 · Clinic/Center · NPI assigned 05/19/2016

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

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

$725K
Total Medicaid Paid
28,058
Total Claims
4,486
Beneficiaries
8
Codes Billed
2020-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date05/19/2016

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
PROSPECT CCMC, LLC CHESTER PA $5.46M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $925.60
2021 14,281 $351K
2022 13,763 $373K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 21,459 842 $233K
90792 Psychiatric diagnostic evaluation with medical services 1,216 1,056 $155K
90853 Group psychotherapy (other than of a multiple-family group) 2,339 542 $144K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,577 1,088 $94K
90834 Psychotherapy, 45 minutes with patient 810 509 $57K
90837 Psychotherapy, 53 minutes with patient 175 108 $25K
90832 Psychotherapy, 30 minutes with patient 380 302 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 102 39 $4K