Einstein Practice Plan INC
Einstein Practice Plan INC was paid $1.99M by Medicaid between Apr 2018 and Nov 2024, across 10 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 55% of everything it billed.
PHILADELPHIA, PA 19141
Next to other Nephrology Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,356 | $524K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 55% | 6,704 | 6,343 | $1.10M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 12,670 | 5,364 | $535K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.3% | 2,467 | 1,141 | $146K |
| 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 | 6.6% | 3,766 | 3,010 | $132K |
| 99254 | 2.3% | 596 | 580 | $45K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.1% | 1,979 | 1,116 | $23K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 150 | 146 | $5K |
| 90961 | <1% | 23 | 19 | $2K | |
| 3078F | <1% | 42 | 40 | $60.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 22 | 15 | $0.00 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.