Medicaid Provider Spending

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

ELWYN OF PENNSYLVANIA AND DELAWARE

NPI: 1972643203 · PHILADELPHIA, PA 19104 · Child & Adolescent Psychiatry Physician · NPI assigned 02/07/2007

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

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

$5.01M
Total Medicaid Paid
73,802
Total Claims
34,730
Beneficiaries
20
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUSCH, DONNA (DIR. OF CONTRACT AND CREDENTIALING)
NPI Enumeration Date02/07/2007

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 $21.09M
ELWYN OF PENNSYLVANIA AND DELAWARE ELWYN PA $16.31M
ELWYN OF PENNSYLVANIA AND DELAWARE MEDIA PA $10.73M
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 PHILADELPHIA PA $0.00
ELWYN OF PENNSYLVANIA AND DELAWARE UPPER DARBY PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 808 $59K
2020 12,108 $27K
2021 16,159 $94K
2022 15,482 $1.43M
2023 15,053 $1.68M
2024 14,192 $1.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 21,857 8,380 $1.49M
H0038 Self-help/peer services, per 15 minutes 6,006 2,213 $1.25M
90834 Psychotherapy, 45 minutes with patient 10,559 4,181 $828K
90832 Psychotherapy, 30 minutes with patient 14,947 7,287 $616K
90791 Psychiatric diagnostic evaluation 810 793 $263K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,913 5,330 $120K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,344 2,115 $106K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 743 667 $72K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 814 738 $65K
H2021 Community-based wrap-around services, per 15 minutes 1,811 207 $60K
90792 Psychiatric diagnostic evaluation with medical services 397 392 $56K
H0034 Medication training and support, per 15 minutes 783 709 $38K
H2019 Therapeutic behavioral services, per 15 minutes 1,921 484 $17K
90847 Family psychotherapy with the patient present, 50 minutes 421 261 $12K
90853 Group psychotherapy (other than of a multiple-family group) 89 25 $9K
99205 Prolong outpt/office vis 18 18 $3K
H2012 Behavioral health day treatment, per hour 113 16 $0.00
H0032 Mental health service plan development by non-physician 2,031 473 $0.00
H2015 Comprehensive community support services, per 15 minutes 533 100 $0.00
H0046 Mental health services, not otherwise specified 1,692 341 $0.00