Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Elwyn › NPI 1639219207
Residential

Elwyn of Pennsylvania and Delaware

Elwyn of Pennsylvania and Delaware was paid $16.31M by Medicaid between Sep 2020 and Nov 2024, across 1 billing code. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 100% of everything it billed.

33Billing provider infoELWYN OF PENNSYLVANIA AND DELAWARE
ELWYN, PA 19063
33aNPI1639219207assigned 02/06/2007
28Total paid$16.31M
24GClaims32,303
24DCodes billed1
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers

Next to other Psychiatric Residential Treatment Facility providers in Pennsylvania

Rank by total paid#1 of 8
Median peer was paid$8.03M
This provider vs. median2.0×

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.

Single-Code Concentration100% of spending on code H0018 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official BUSCH, DONNA controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
20203,296$1.68M
202111,683$5.98M
20227,333$3.76M
20235,520$2.67M
2024incomplete4,471$2.21M
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 100% 32,303 1,287 $16.31M

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 officialBUSCH, DONNA (DIR PAYER CONTRACTING/CEDENTIALING)
Same official

Other billing entities under BUSCH, DONNA

Full network →

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