PROSPECT HEALTH ACCESS NETWORK, INC.

NPI: 1922455443 · CHESTER, PA 19013 · Pulmonary Disease Physician · NPI assigned 05/16/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$65K

Total Medicaid Paid

2,276

Total Claims

1,984

Beneficiaries

Codes Billed

2020-10

First Month

2024-10

Last Month

Provider Details

Authorized Official	ELDERS, ROBERT (SECRETARY)
NPI Enumeration Date	05/16/2016

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

Code	Description	Claims	Beneficiaries	Total Paid
S9470	Nutritional counseling, dietitian visit	1,197	1,144	$34K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	404	266	$8K
93970		195	180	$7K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	79	78	$5K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	43	42	$4K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	71	66	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	40	38	$2K
97803		29	25	$853.58
93971		29	24	$506.21
99231	Subsequent hospital care, per day, straightforward or low complexity	18	12	$294.06
99024		171	109	$0.00