Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1174580559 · PHILADELPHIA, PA 19141 · Nephrology Physician · NPI assigned 04/28/2006

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

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

$1.99M
Total Medicaid Paid
28,419
Total Claims
17,774
Beneficiaries
10
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR-EINSTEIN PRACTICE PLAN INC)
NPI Enumeration Date04/28/2006

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
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 $322K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $38K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 650 $23.50
2019 30 $60.80
2020 1,881 $85K
2021 7,133 $443K
2022 6,274 $475K
2023 6,095 $465K
2024 6,356 $524K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 6,704 6,343 $1.10M
99232 Subsequent hospital care, per day, moderate complexity 12,670 5,364 $535K
99233 Prolong inpt eval add15 m 2,467 1,141 $146K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,766 3,010 $132K
99254 596 580 $45K
90935 Hemodialysis procedure with single evaluation by a physician 1,979 1,116 $23K
99222 Initial hospital care, per day, moderate complexity 150 146 $5K
90961 23 19 $2K
3078F 42 40 $60.00
99215 Prolong outpt/office vis 22 15 $0.00