Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1114970407 · PHILA, PA 19141 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 05/18/2006

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

Authorized official JACKSON, MARY controls 13+ related entities in our dataset. Read more

$1.05M
Total Medicaid Paid
25,741
Total Claims
25,022
Beneficiaries
13
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: JACKSON, MARY

ProviderCityStateTotal Paid
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $13.85M
ALWAYS ON TIME HOMECARE LLC LUTHERSVILLE GA $8.22M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $2.98M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $2.46M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.99M
GERIATRIC CARE SOLUTIONS SAINT CHARLES MO $1.52M
ABBEVILLE COUNTY MEMORIAL HOSPITAL ABBEVILLE SC $1.46M
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $682K
EINSTEIN PRACTICE PLAN INC PHILA PA $624K
ABBEVILLE COUNTY MEMORIAL HOSPITAL DUE WEST SC $364K
EINSTEIN PRACTICE PLAN,INC PHILADELPHIA PA $322K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $38K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 59 $90.00
2020 1,502 $54K
2021 6,560 $280K
2022 6,289 $270K
2023 6,193 $248K
2024 5,138 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 13,071 12,708 $598K
88307 6,559 6,450 $281K
88342 3,908 3,787 $128K
88304 1,501 1,475 $24K
88313 80 77 $5K
86077 148 145 $5K
85390 197 125 $4K
88341 58 52 $2K
88108 121 109 $2K
88311 55 53 $1K
88173 14 14 $915.99
88302 13 13 $190.96
85060 16 14 $100.46