Medicaid Provider Spending

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

PENN FOUNDATION, INC.

NPI: 1730364274 · SELLERSVILLE, PA 18960 · Community/Behavioral Health Agency · NPI assigned 01/03/2008

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

100% of spending on code H0046 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$1.28M
Total Medicaid Paid
11,050
Total Claims
2,870
Beneficiaries
1
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMUGRAUER, WAYNE (PRESIDENT/CEO)
NPI Enumeration Date01/03/2008

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 $5.42M
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 $1.18M
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 1,124 $0.00
2021 2,826 $158K
2022 2,432 $350K
2023 2,564 $413K
2024 2,104 $359K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0046 Mental health services, not otherwise specified 11,050 2,870 $1.28M