Prospect Health Access Network, INC.

Prospect Health Access Network, INC. was paid $11K by Medicaid between Jun 2018 and Jun 2019, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.

33Billing provider infoPROSPECT HEALTH ACCESS NETWORK, INC.
CHESTER, PA 19013

33aNPI1568819084assigned 05/16/2016

33bProvider typeEmergency Medicine Physician

28Total paid$11K

24GClaims248

24DCodes billed3

24AFirst – last monthJun 2018 – Jun 2019

Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#725 of 1,211

Median peer was paid$19K

This provider vs. median0.5×

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

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

Year	Claims	Paid
2018	70	$2K
2019	178	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	47%	95	88	$5K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	43%	113	103	$5K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	10%	40	40	$1K

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 →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.