Medicaid Provider Spending

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

PENN FOUNDATION, INC.

NPI: 1780888628 · SELLERSVILLE, PA 18960 · Community/Behavioral Health Agency · NPI assigned 06/13/2007

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

99% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$2.49M
Total Medicaid Paid
10,506
Total Claims
1,744
Beneficiaries
2
Codes Billed
2020-09
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 $5.42M
PENN FOUNDATION, INC. SELLERSVILLE PA $5.23M
PENN FOUNDATION, INC. SELLERSVILLE PA $2.53M
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 969 $0.00
2021 2,610 $259K
2022 2,592 $701K
2023 2,556 $869K
2024 1,779 $665K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 10,044 1,490 $2.46M
T1016 Case management, each 15 minutes 462 254 $36K