Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN,INC

NPI: 1154760809 · PHILADELPHIA, PA 19141 · Urology Physician · NPI assigned 06/17/2013

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

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

$322K
Total Medicaid Paid
7,226
Total Claims
6,962
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR)
NPI Enumeration Date06/17/2013

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 PHILA PA $1.05M
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 $38K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47 $488.88
2020 159 $6K
2021 939 $37K
2022 1,383 $60K
2023 2,355 $125K
2024 2,343 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,586 2,483 $103K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,034 1,975 $70K
99244 Office or other outpatient consultation, moderate to high complexity 463 439 $59K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 365 357 $34K
99243 293 291 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 248 242 $14K
51798 458 434 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 226 222 $5K
99242 85 85 $3K
99245 14 13 $2K
99215 Prolong outpt/office vis 29 28 $2K
99205 Prolong outpt/office vis 17 13 $1K
81002 408 380 $549.21