PROSPECT HEALTH ACCESS NETWORK, INC.
NPI: 1649627167
· CHESTER, PA 19013
· Obstetrics & Gynecology Physician
· NPI assigned 05/16/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more
$1.22M
Total Medicaid Paid
Provider Details
| Authorized Official | ELDERS, ROBERT (SECRETARY) |
| NPI Enumeration Date | 05/16/2016 |
Related Entities
Other providers sharing the same authorized official: ELDERS, ROBERT
| Provider | City | State | Total 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 |
| 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
| Year | Claims | Total Paid |
|---|
| 2020 |
1,616 |
$71K |
| 2021 |
6,093 |
$258K |
| 2022 |
5,501 |
$242K |
| 2023 |
7,036 |
$325K |
| 2024 |
6,899 |
$322K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,093 |
14,883 |
$1.08M |
| 0502F |
|
6,857 |
5,617 |
$68K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,092 |
1,085 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
846 |
817 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
138 |
$9K |
| 90715 |
|
462 |
460 |
$7K |
| 99429 |
|
24 |
24 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
92 |
$3K |
| 90686 |
|
224 |
224 |
$2K |
| 81025 |
|
231 |
230 |
$1K |
| 87210 |
|
53 |
53 |
$377.11 |
| 99385 |
|
12 |
12 |
$309.76 |
| 99000 |
|
13 |
13 |
$0.00 |