Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1104882786 · ELKINS PARK, PA 19027 · Physical Medicine & Rehabilitation Physician · NPI assigned 04/24/2006

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

Authorized official BARGERON, FRANCINE controls 17+ related entities in our dataset. Read more

$2.02M
Total Medicaid Paid
43,866
Total Claims
26,475
Beneficiaries
25
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARGERON, FRANCINE (DIRECTOR)
NPI Enumeration Date04/24/2006

Related Entities

Other providers sharing the same authorized official: BARGERON, FRANCINE

ProviderCityStateTotal Paid
EINSTEIN PRACTICE PLAN, INC PHILADELPHIA PA $11.46M
EINSTEIN PRACTICE PLAN INC PHILA PA $8.02M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4.26M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.89M
EINSTEIN PRACTICE PLAN, INC PHILADELPHIA PA $1.73M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.65M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.40M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.23M
EINSTEIN PRACTICE PLAN, INC PHILADELPHIA PA $977K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $926K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $774K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $636K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $551K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $400K
EINSTEIN PRACTICE PLAN INC ELKINS PARK PA $170K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $15K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 235 $326.69
2020 1,811 $58K
2021 11,668 $440K
2022 11,462 $554K
2023 10,998 $560K
2024 7,692 $411K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 18,707 4,997 $924K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,330 9,796 $472K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,481 2,895 $161K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 952 946 $94K
64642 1,221 1,186 $81K
99254 815 793 $77K
62370 1,412 1,338 $33K
99244 Office or other outpatient consultation, moderate to high complexity 189 184 $27K
64643 888 861 $23K
99233 Prolong inpt eval add15 m 301 110 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 338 330 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 504 485 $18K
95874 1,162 1,132 $18K
95886 409 332 $14K
64483 55 52 $8K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 614 572 $6K
99239 Hospital discharge day management, more than 30 minutes 82 78 $6K
99253 93 92 $5K
J0475 Injection, baclofen, 10 mg 71 69 $5K
99223 Prolong inpt eval add15 m 30 26 $4K
99252 58 55 $2K
95873 76 74 $1K
62368 51 45 $888.05
99215 Prolong outpt/office vis 12 12 $644.32
99222 Initial hospital care, per day, moderate complexity 15 15 $631.30