Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › CHESTER › PROSPECT HEALTH ACCESS NETWORK, INC.

PROSPECT HEALTH ACCESS NETWORK, INC.

NPI: 1780031005 · CHESTER, PA 19013 · Pediatrics Physician · NPI assigned 05/17/2016

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

Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more

$392K
Total Medicaid Paid
22,805
Total Claims
22,527
Beneficiaries
37
Codes Billed
2020-10
First Month
2024-01
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date05/17/2016

Related Entities

Other providers sharing the same authorized official: ELDERS, ROBERT

ProviderCityStateTotal Paid
PROSPECT WATERBURY, INC. WATERBURY CT $84.62M
PROSPECT MANCHESTER HOSPITAL, INC. MANCHESTER CT $69.20M
PROSPECT CHARTERCARE RWMC, LLC PROVIDENCE RI $57.10M
PROSPECT CCMC, LLC CHESTER PA $40.89M
PROSPECT CT MEDICAL FOUNDATION, INC. MANCHESTER CT $34.07M
PROSPECT ROCKVILLE HOSPITAL, INC. VERNON CT $30.06M
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $10.94M
PROSPECT DCMH, LLC DREXEL HILL PA $10.37M
PROSPECT CCMC, LLC CHESTER PA $5.46M
ALTA LOS ANGELES HOSPITALS, INC. LOS ANGELES CA $5.42M
PROSPECT CCMC, LLC CHESTER PA $5.03M
PROSPECT CCMC, LLC CHESTER PA $3.71M
PROSPECT CHARTERCARE PHYSICIANS, LLC CRANSTON 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, LLC TUSTIN CA $1.16M
PROSPECT HEALTH ACCESS NETWORK, INC. CRUM LYNNE PA $924K
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $872K
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $858K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,162 $30K
2021 8,181 $149K
2022 7,081 $129K
2023 4,969 $80K
2024 412 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99460 1,127 1,077 $102K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,097 2,018 $86K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,061 2,054 $70K
99239 Hospital discharge day management, more than 30 minutes 566 552 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 896 890 $23K
90686 2,129 2,118 $10K
90670 1,295 1,290 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 868 840 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 186 185 $7K
99238 Hospital discharge day management, 30 minutes or less 240 231 $7K
90648 1,297 1,291 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,178 2,165 $5K
99188 234 233 $4K
90723 903 901 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 355 348 $4K
90633 623 618 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 204 203 $2K
92551 1,065 1,060 $2K
90734 302 300 $1K
99173 1,569 1,561 $1K
90681 339 338 $1K
90651 248 247 $1K
90710 173 173 $1K
90700 174 173 $943.19
90707 177 176 $877.46
90716 135 135 $803.17
83655 66 65 $726.52
90696 121 121 $676.37
90472 Immunization administration, each additional vaccine (list separately) 25 24 $629.16
90715 114 114 $582.25
90620 76 76 $532.00
96161 456 451 $527.09
90680 63 63 $464.16
85018 241 237 $178.68
99462 13 13 $145.52
96127 148 148 $59.63
36416 41 38 $0.00