Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN, INC.

NPI: 1205246576 · PHILADELPHIA, PA 19141 · Pain Medicine (Anesthesiology) Physician · NPI assigned 05/07/2014

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

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

$682K
Total Medicaid Paid
11,714
Total Claims
11,448
Beneficiaries
8
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR)
NPI Enumeration Date05/07/2014

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 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 12 $35.00
2020 442 $23K
2021 2,527 $143K
2022 3,269 $185K
2023 3,060 $187K
2024 2,404 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,356 4,273 $223K
62323 2,009 1,967 $172K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,562 1,524 $146K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,484 3,404 $125K
64483 71 64 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 86 86 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 106 94 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 40 36 $1K