Medicaid Provider Spending

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

PROSPECT DCMH, LLC

NPI: 1548624851 · DREXEL HILL, PA 19026 · General Acute Care Hospital · NPI assigned 04/12/2016

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

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

$10.37M
Total Medicaid Paid
59,684
Total Claims
54,531
Beneficiaries
135
Codes Billed
2018-07
First Month
2024-05
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date04/12/2016

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 166 $15K
2019 174 $11K
2020 13,902 $1.86M
2021 36,725 $6.47M
2022 8,136 $1.97M
2023 520 $31K
2024 61 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 1,354 1,241 $3.08M
99283 Emergency department visit for the evaluation and management, moderate severity 6,331 6,032 $1.91M
99284 Emergency department visit for the evaluation and management, high severity 4,781 4,574 $1.38M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,839 4,590 $1.26M
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,249 1,219 $357K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 832 747 $220K
99282 Emergency department visit for the evaluation and management, low to moderate severity 756 727 $217K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,648 1,553 $208K
77067 Screening mammography, bilateral, including computer-aided detection 927 921 $172K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 505 474 $161K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 231 226 $148K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 562 549 $138K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,933 1,882 $125K
74177 Computed tomography, abdomen and pelvis; with contrast material 359 354 $83K
59025 Fetal non-stress test 1,329 660 $70K
76830 Ultrasound, transvaginal 510 502 $62K
76700 Ultrasound, abdominal, real time with image documentation; complete 421 410 $56K
77063 Screening digital breast tomosynthesis, bilateral 918 912 $46K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 329 324 $45K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 487 479 $37K
77066 Tomosynthesis, mammo 172 170 $37K
76801 382 358 $31K
76642 314 309 $31K
93017 224 219 $28K
76819 Fetal biophysical profile; without non-stress testing 136 84 $27K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 219 155 $26K
76813 149 145 $21K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 209 184 $20K
71046 Radiologic examination, chest; 2 views 664 641 $20K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 647 610 $19K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 220 209 $18K
76536 125 121 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 278 258 $16K
93971 105 103 $16K
72100 248 243 $15K
76820 175 89 $15K
71250 87 87 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 30 30 $13K
71260 Computed tomography, thorax, diagnostic; with contrast material 62 62 $13K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 256 254 $12K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 245 74 $11K
80053 Comprehensive metabolic panel 1,434 1,241 $11K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 148 61 $10K
77065 Tomosynthesis, mammo 58 54 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 14 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,421 1,284 $7K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 144 139 $7K
70450 Computed tomography, head or brain; without contrast material 358 335 $7K
73030 139 130 $6K
73562 118 85 $6K
80048 Basic metabolic panel (calcium, ionized) 1,150 968 $5K
73630 156 124 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 180 176 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 221 211 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,183 1,849 $4K
96361 Intravenous infusion, hydration; each additional hour 433 393 $3K
77080 25 24 $3K
87631 49 46 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 555 532 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 386 367 $3K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 173 167 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 85 79 $3K
84484 877 741 $2K
71045 Radiologic examination, chest; single view 779 726 $2K
85027 489 445 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 709 695 $2K
71275 Computed tomographic angiography, chest, with contrast material 29 29 $2K
01999 32 30 $2K
93970 13 13 $2K
76770 13 13 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 79 76 $2K
A0425 Ground mileage, per statute mile 1,064 932 $1K
83735 636 480 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 179 170 $1K
73502 28 26 $1K
85730 577 531 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 84 69 $1K
87086 Culture, bacterial; quantitative colony count, urine 414 397 $1K
J3490 Unclassified drugs 337 203 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 387 367 $1K
97597 28 13 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material 13 13 $1K
85610 620 567 $1K
81001 910 870 $1K
73610 44 37 $1K
97162 14 14 $910.83
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $910.41
86850 168 159 $759.50
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 226 222 $750.09
73564 49 37 $724.72
83880 110 99 $715.69
0002A 92 85 $709.00
84100 318 226 $697.04
86900 168 159 $677.07
84703 256 248 $611.40
83690 462 432 $598.16
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 226 222 $581.45
0001A 114 109 $556.94
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 44 26 $546.18
84702 97 87 $522.29
36415 Collection of venous blood by venipuncture 1,102 903 $488.23
97535 Self-care/home management training, each 15 minutes 27 16 $472.29
96375 Therapeutic injection; each additional sequential IV push 307 285 $412.13
J2704 Injection, propofol, 10 mg 39 37 $377.89
90715 14 13 $304.64
86901 158 149 $303.85
82077 128 120 $287.61
73130 16 14 $271.88
83605 152 143 $270.43
85379 74 73 $250.74
87088 154 151 $223.59
J2405 Injection, ondansetron hydrochloride, per 1 mg 268 239 $207.44
81025 950 904 $201.44
87186 51 49 $167.04
J2270 Injection, morphine sulfate, up to 10 mg 68 53 $156.90
81003 125 116 $129.42
84443 Thyroid stimulating hormone (TSH) 12 12 $112.85
87481 18 18 $83.79
72125 Computed tomography, cervical spine; without contrast material 12 12 $83.10
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 16 16 $76.60
83615 14 12 $49.99
84550 14 12 $43.38
87040 13 12 $28.00
J2765 Injection, metoclopramide hcl, up to 10 mg 49 45 $23.72
80320 23 22 $23.52
82550 19 17 $21.57
J7030 Infusion, normal saline solution , 1000 cc 155 139 $18.37
J2250 Injection, midazolam hydrochloride, per 1 mg 58 54 $11.31
87077 12 12 $7.10
J3010 Injection, fentanyl citrate, 0.1 mg 27 26 $3.35
J1200 Injection, diphenhydramine hcl, up to 50 mg 15 14 $2.72
0202U Oncology (prostate), multianalyte, gene expression profiling 151 147 $0.00
94664 16 14 $0.00
87511 16 16 $0.00
96376 36 26 $0.00