Physician
Elwyn of Pennsylvania and Delaware
Elwyn of Pennsylvania and Delaware was paid $5.01M by Medicaid between Sep 2019 and Dec 2024, across 20 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 30% of everything it billed.
33Billing provider infoELWYN OF PENNSYLVANIA AND DELAWARE
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
33aNPI1972643203assigned 02/07/2007
33bProvider typeChild & Adolescent Psychiatry Physician
28Total paid$5.01M
24GClaims73,802
24DCodes billed20
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Child & Adolescent Psychiatry Physician providers in Pennsylvania
Rank by total paid#2 of 39
Median peer was paid$129K
This provider vs. median39×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BUSCH, DONNA controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 808 | $59K | |
| 2020 | 12,108 | $27K | |
| 2021 | 16,159 | $94K | |
| 2022 | 15,482 | $1.43M | |
| 2023 | 15,053 | $1.68M | |
| 2024incomplete | 14,192 | $1.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 30% | 21,857 | 8,380 | $1.49M |
| H0038 | Self-help/peer services, per 15 minutes | 25% | 6,006 | 2,213 | $1.25M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 17% | 10,559 | 4,181 | $828K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 12% | 14,947 | 7,287 | $616K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.3% | 810 | 793 | $263K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.4% | 5,913 | 5,330 | $120K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 2,344 | 2,115 | $106K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 743 | 667 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 814 | 738 | $65K |
| H2021 | Community-based wrap-around services, per 15 minutes | 1.2% | 1,811 | 207 | $60K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.1% | 397 | 392 | $56K |
| H0034 | Medication training and support, per 15 minutes | <1% | 783 | 709 | $38K |
8 more codes
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 1,921 | $17K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 421 | $12K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 89 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 18 | $3K |
| H2012 | Behavioral health day treatment, per hour | 0% | 113 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 2,031 | $0.00 |
| H2015 | Community support for mental illness or disability, per 15 minutes | 0% | 533 | $0.00 |
| H0046 | Mental health services, not otherwise specified | 0% | 1,692 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBUSCH, DONNA (DIR. OF CONTRACT AND CREDENTIALING)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.