Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Penn Foundation, INC.

Penn Foundation, INC. was paid $2.49M by Medicaid between Sep 2020 and Dec 2024, across 2 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 99% of everything it billed.

33Billing provider infoPENN FOUNDATION, INC.
SELLERSVILLE, PA 18960
33aNPI1780888628assigned 06/13/2007
28Total paid$2.49M
24GClaims10,506
24DCodes billed2
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#180 of 517
Median peer was paid$1.23M
This provider vs. median2.0×

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.

Single-Code Concentration99% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official MUGRAUER, WAYNE controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020969$0.00
20212,610$259K
20222,592$701K
20232,556$869K
2024incomplete1,779$665K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0004 Behavioral health counseling and therapy, per 15 minutes 99% 10,044 1,490 $2.46M
T1016 Case management, each 15 minutes 1.4% 462 254 $36K

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.

From NPPES

Who's on the registration

Authorized officialMUGRAUER, WAYNE (PRESIDENT)
Same official

Other billing entities under MUGRAUER, WAYNE

Full network →
ProviderLocationPaid
Penn Foundation, INC.Souderton, PA$8.63M
Penn Foundation INCSellersville, PA$8.28M
Penn Foundation, INC.Sellersville, PA$6.09M
Penn Foundation INCSuite 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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.