Medicaid Provider Spending

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

ELWYN OF PENNSYLVANIA AND DELAWARE

NPI: 1639219207 · ELWYN, PA 19063 · Psychiatric Residential Treatment Facility · NPI assigned 02/06/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0018 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BUSCH, DONNA controls 16+ related entities in our dataset. Read more

$16.31M
Total Medicaid Paid
32,303
Total Claims
1,287
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUSCH, DONNA (DIR PAYER CONTRACTING/CEDENTIALING)
NPI Enumeration Date02/06/2007

Related Entities

Other providers sharing the same authorized official: BUSCH, DONNA

ProviderCityStateTotal Paid
FELLOWSHIP HEALTH RESOURCES, INC LINCOLN RI $49.17M
ELWYN OF PENNSYLVANIA AND DELAWARE ELWYN PA $21.09M
ELWYN OF PENNSYLVANIA AND DELAWARE MEDIA PA $10.73M
ELWYN OF PENNSYLVANIA AND DELAWARE PHILADELPHIA PA $5.01M
FELLOWSHIP HEALTH RESOURCES, INC GEORGETOWN DE $2.81M
FELLOWSHIP HEALTH RESOURCES, INC. LINCOLN RI $922K
ELWYN OF PENNSYLVANIA AND DELAWARE PHILADELPHIA PA $849K
ELWYN OF PENNSYLVANIA AND DELAWARE WILMINGTON DE $313K
FELLOWSHIP HEALTH RESOURCES, INC GEORGETOWN DE $132K
FELLOWSHIP HEALTH RESOURCES, INC. MILTON DE $112K
ELWYN OF PENNSYLVANIA AND DELAWARE MEDIA PA $101K
ELWYN OF PENNSYLVANIA AND DELAWARE ELWYN PA $76K
ELWYN LEHIGH VALLEY PA $2K
ELWYN OF PENNSYLVANIA AND DELAWARE ELWYN PA $164.19
ELWYN OF PENNSYLVANIA AND DELAWARE PHILADELPHIA PA $0.00
ELWYN OF PENNSYLVANIA AND DELAWARE UPPER DARBY PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,296 $1.68M
2021 11,683 $5.98M
2022 7,333 $3.76M
2023 5,520 $2.67M
2024 4,471 $2.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 32,303 1,287 $16.31M