Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Chester › NPI 1669084364
Agency

Prospect CCMC, LLC

Prospect CCMC, LLC was paid $220K by Medicaid between Mar 2021 and May 2022, across 1 billing code. Its largest line is G9012, Other specified case management service not elsewhere classified — 100% of everything it billed.

33Billing provider infoPROSPECT CCMC, LLC
CHESTER, PA 19013
33aNPI1669084364assigned 08/24/2020
33bProvider typeCase Management Agency
28Total paid$220K
24GClaims779
24DCodes billed1
24AFirst – last monthMar 2021 – May 2022
Compared with peers

Next to other Case Management Agency providers in Pennsylvania

Rank by total paid#177 of 206
Median peer was paid$2.13M
This provider vs. median0.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
2021618$173K
2022161$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G9012 Other specified case management service not elsewhere classified 100% 779 776 $220K

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 →
ProviderLocationPaid
Prospect Waterbury, INC.Waterbury, CT$84.62M
Prospect Manchester Hospital, INC.Manchester, CT$69.20M
Prospect Chartercare RWMC, LLCProvidence, RI$57.10M
Prospect CCMC, LLCChester, PA$40.89M
Prospect CT Medical Foundation, INC.Manchester, CT$34.07M
Prospect Rockville Hospital, INC.Vernon, CT$30.06M
Prospect Chartercare Sjhsri, LLCNorth Providence, RI$10.94M
Prospect DCMH, LLCDrexel Hill, PA$10.37M
Prospect CCMC, LLCChester, PA$5.46M
Alta Los Angeles Hospitals, INC.Los Angeles, CA$5.42M
Prospect CCMC, LLCChester, PA$5.03M
Prospect CCMC, LLCChester, PA$3.71M
Prospect Chartercare Physicians, LLCCranston, 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, LLCTustin, CA$1.16M
Prospect Health Access Network, INC.Crum Lynne, PA$924K
Prospect Health Access Network, INC.Chester, PA$872K
Prospect Chartercare Sjhsri, LLCNorth Providence, RI$858K

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