Penn Foundation, INC.
Penn Foundation, INC. was paid $5.42M by Medicaid between Mar 2020 and Dec 2024, across 12 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 53% of everything it billed.
SELLERSVILLE, PA 18960
Next to other Community/Behavioral Health Agency providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 7,880 | $273K | |
| 2021 | 19,830 | $700K | |
| 2022 | 14,857 | $1.20M | |
| 2023 | 16,610 | $1.69M | |
| 2024incomplete | 13,971 | $1.55M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 53% | 42,161 | 24,905 | $2.88M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 6,618 | 6,308 | $779K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.0% | 3,551 | 3,205 | $377K |
| G9012 | Other specified case management service not elsewhere classified | 6.8% | 1,333 | 1,333 | $370K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 4,288 | 4,082 | $361K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 3,111 | 2,993 | $223K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 3.4% | 2,679 | 2,020 | $184K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.7% | 3,615 | 3,073 | $148K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 611 | 580 | $67K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,844 | 4,382 | $24K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 30 | 29 | $985.09 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 307 | 109 | $950.40 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.