Medicaid Provider Spending

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

PENN FOUNDATION, INC.

NPI: 1669676508 · SELLERSVILLE, PA 18960 · Community/Behavioral Health Agency · NPI assigned 06/13/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MUGRAUER, WAYNE controls 14+ related entities in our dataset. Read more

$5.42M
Total Medicaid Paid
73,148
Total Claims
53,019
Beneficiaries
12
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUGRAUER, WAYNE (PRESIDENT)
NPI Enumeration Date06/13/2007

Related Entities

Other providers sharing the same authorized official: MUGRAUER, WAYNE

ProviderCityStateTotal Paid
PENN FOUNDATION, INC. SOUDERTON PA $8.63M
PENN FOUNDATION INC SELLERSVILLE PA $8.28M
PENN FOUNDATION, INC. SELLERSVILLE PA $6.09M
PENN FOUNDATION INC SUITE 507 PA $5.62M
PENN FOUNDATION, INC. SELLERSVILLE PA $5.23M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.53M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.49M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.19M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.28M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.18M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.10M
PENN FOUNDATION, INC. SELLERSVILLE PA $1.07M
PENN FOUNDATION, INC. SELLERSVILLE PA $882K
PENN FOUNDATION, INC. SELLERSVILLE PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 7,880 $273K
2021 19,830 $700K
2022 14,857 $1.20M
2023 16,610 $1.69M
2024 13,971 $1.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 42,161 24,905 $2.88M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,618 6,308 $779K
90792 Psychiatric diagnostic evaluation with medical services 3,551 3,205 $377K
G9012 Other specified case management service not elsewhere classified 1,333 1,333 $370K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,288 4,082 $361K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,111 2,993 $223K
90847 Family psychotherapy with the patient present, 50 minutes 2,679 2,020 $184K
90832 Psychotherapy, 30 minutes with patient 3,615 3,073 $148K
99215 Prolong outpt/office vis 611 580 $67K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,844 4,382 $24K
90846 Family psychotherapy without the patient present, 50 minutes 30 29 $985.09
90853 Group psychotherapy (other than of a multiple-family group) 307 109 $950.40