Medicaid Provider Spending

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

ELWYN OF PENNSYLVANIA AND DELAWARE

NPI: 1942403092 · ELWYN, PA 19063 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 06/07/2007

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

100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BUSCH, DONNA controls 16+ related entities in our dataset. Read more

$21.09M
Total Medicaid Paid
26,825
Total Claims
912
Beneficiaries
1
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUSCH, DONNA (DIR. PAYER CONTRACT & CREDENTIALING)
NPI Enumeration Date06/07/2007

Related Entities

Other providers sharing the same authorized official: BUSCH, DONNA

ProviderCityStateTotal Paid
FELLOWSHIP HEALTH RESOURCES, INC LINCOLN RI $49.17M
ELWYN OF PENNSYLVANIA AND DELAWARE ELWYN PA $16.31M
ELWYN OF PENNSYLVANIA AND DELAWARE MEDIA PA $10.73M
ELWYN OF PENNSYLVANIA AND DELAWARE PHILADELPHIA PA $5.01M
FELLOWSHIP HEALTH RESOURCES, INC GEORGETOWN DE $2.81M
FELLOWSHIP HEALTH RESOURCES, INC. LINCOLN RI $922K
ELWYN OF PENNSYLVANIA AND DELAWARE PHILADELPHIA PA $849K
ELWYN OF PENNSYLVANIA AND DELAWARE WILMINGTON DE $313K
FELLOWSHIP HEALTH RESOURCES, INC GEORGETOWN DE $132K
FELLOWSHIP HEALTH RESOURCES, INC. MILTON DE $112K
ELWYN OF PENNSYLVANIA AND DELAWARE MEDIA PA $101K
ELWYN OF PENNSYLVANIA AND DELAWARE ELWYN PA $76K
ELWYN LEHIGH VALLEY PA $2K
ELWYN OF PENNSYLVANIA AND DELAWARE ELWYN PA $164.19
ELWYN OF PENNSYLVANIA AND DELAWARE UPPER DARBY PA $0.00
ELWYN OF PENNSYLVANIA AND DELAWARE PHILADELPHIA PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,103 $665K
2021 4,801 $2.86M
2022 4,710 $3.02M
2023 7,139 $6.57M
2024 9,072 $7.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 26,825 912 $21.09M