Physician
Einstein Practice Plan INC
Einstein Practice Plan INC was paid $2.02M by Medicaid between May 2018 and Dec 2024, across 25 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 46% of everything it billed.
33Billing provider infoEINSTEIN PRACTICE PLAN INC
ELKINS PARK, PA 19027
ELKINS PARK, PA 19027
33aNPI1104882786assigned 04/24/2006
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$2.02M
24GClaims43,866
24DCodes billed25
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Pennsylvania
Rank by total paid#1 of 148
Median peer was paid$8K
This provider vs. median269×
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 BARGERON, FRANCINE controls 17+ 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 | |
|---|---|---|---|
| 2018 | 235 | $326.69 | |
| 2020 | 1,811 | $58K | |
| 2021 | 11,668 | $440K | |
| 2022 | 11,462 | $554K | |
| 2023 | 10,998 | $560K | |
| 2024incomplete | 7,692 | $411K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 46% | 18,707 | 4,997 | $924K |
| 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 | 23% | 10,330 | 9,796 | $472K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 7.9% | 5,481 | 2,895 | $161K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.7% | 952 | 946 | $94K |
| 64642 | 4.0% | 1,221 | 1,186 | $81K | |
| 99254 | 3.8% | 815 | 793 | $77K | |
| 62370 | 1.6% | 1,412 | 1,338 | $33K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.3% | 189 | 184 | $27K |
| 64643 | 1.1% | 888 | 861 | $23K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 301 | 110 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 338 | 330 | $20K |
| 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% | 504 | 485 | $18K |
13 more codes
| 95874 | <1% | 1,162 | $18K | |
| 95886 | <1% | 409 | $14K | |
| 64483 | <1% | 55 | $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) | <1% | 614 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 82 | $6K |
| 99253 | <1% | 93 | $5K | |
| J0475 | Injection, baclofen, 10 mg | <1% | 71 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | $4K |
| 99252 | <1% | 58 | $2K | |
| 95873 | <1% | 76 | $1K | |
| 62368 | <1% | 51 | $888.05 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $644.32 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $631.30 |
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 officialBARGERON, FRANCINE (DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.