PROSPECT HEALTH ACCESS NETWORK, INC.
NPI: 1871948414
· SPRINGFIELD, PA 19064
· Endocrinology, Diabetes & Metabolism Physician
· NPI assigned 05/02/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more
$259K
Total Medicaid Paid
Provider Details
| Authorized Official | ELDERS, ROBERT (SECRETARY) |
| NPI Enumeration Date | 05/02/2016 |
Related Entities
Other providers sharing the same authorized official: ELDERS, ROBERT
| Provider | City | State | Total 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
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$50.62 |
| 2020 |
215 |
$10K |
| 2021 |
1,394 |
$68K |
| 2022 |
1,189 |
$66K |
| 2023 |
1,125 |
$58K |
| 2024 |
1,126 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,860 |
3,791 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
778 |
761 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
147 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 95251 |
|
54 |
54 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
27 |
$1K |
| 3074F |
|
112 |
110 |
$0.86 |
| 3078F |
|
51 |
49 |
$0.38 |