Medicaid Provider Spending

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

PROSPECT DCMH, LLC

NPI: 1790130672 · DREXEL HILL, PA 19026 · Ambulatory Surgical Clinic/Center · NPI assigned 04/28/2016

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

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

$177K
Total Medicaid Paid
1,688
Total Claims
1,641
Beneficiaries
10
Codes Billed
2020-09
First Month
2024-08
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date04/28/2016

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 183 $32K
2021 673 $146K
2023 460 $0.00
2024 372 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 76 74 $110K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 26 25 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 322 317 $23K
J2704 Injection, propofol, 10 mg 467 461 $788.85
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 290 285 $686.43
88305 Level IV - Surgical pathology, gross and microscopic examination 39 39 $48.36
J3010 Injection, fentanyl citrate, 0.1 mg 26 25 $21.78
J2250 Injection, midazolam hydrochloride, per 1 mg 374 357 $8.60
J3490 Unclassified drugs 42 32 $0.00
J0690 Injection, cefazolin sodium, 500 mg 26 26 $0.00