Medicaid Provider Spending

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

PENN FOUNDATION, INC.

NPI: 1679116099 · SELLERSVILLE, PA 18960 · Clinic/Center · NPI assigned 10/18/2019

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

100% of spending on code H0038 with only 1 total codes billed. Highly concentrated billing profile.

$1.62M
Total Medicaid Paid
12,271
Total Claims
3,333
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREASER, MARY (EXECUTIVE COORD)
NPI Enumeration Date10/18/2019

Related Entities

Other providers sharing the same authorized official: REASER, MARY

ProviderCityStateTotal Paid
PENN FOUNDATION INC SELLERSVILLE PA $1.11M
PENN FOUNDATION INC BRISTOL PA $51K
PENN FOUNDATION, INC SELLERSVILLE PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,152 $0.00
2021 3,738 $264K
2022 2,659 $422K
2023 2,722 $548K
2024 2,000 $383K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0038 Self-help/peer services, per 15 minutes 12,271 3,333 $1.62M