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

Prospect CCMC, LLC

Prospect CCMC, LLC was paid $3.08M by Medicaid between Jul 2020 and Oct 2021, across 2 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 84% of everything it billed.

33Billing provider infoPROSPECT CCMC, LLC
CHESTER, PA 19013
33aNPI1427595982assigned 01/23/2017
33bProvider typeClinic/Center
28Total paid$3.08M
24GClaims635
24DCodes billed2
24AFirst – last monthJul 2020 – Oct 2021
Compared with peers

Next to other Clinic/Center providers in Pennsylvania

Rank by total paid#47 of 176
Median peer was paid$441K
This provider vs. median7.0×

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$100K$200K$300K2018201920202021202220232024
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
2020195$943K
2021440$2.13M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 84% 367 358 $2.59M
H0013 Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) 16% 268 256 $484K

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.