Physician
Einstein Practice Plan INC
Einstein Practice Plan INC was paid $38K by Medicaid between Mar 2021 and Sep 2024, across 5 billing codes. Its largest line is 77427, — 61% of everything it billed.
33Billing provider infoEINSTEIN PRACTICE PLAN INC
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
33aNPI1326006982assigned 05/03/2006
33bProvider typeRadiation Oncology Physician
28Total paid$38K
24GClaims611
24DCodes billed5
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers
Next to other Radiation Oncology Physician providers in Pennsylvania
Rank by total paid#7 of 23
Median peer was paid$3K
This provider vs. median12×
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.
Entity ProliferationAuthorized official JACKSON, MARY controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 81 | $7K | |
| 2022 | 95 | $7K | |
| 2023 | 265 | $18K | |
| 2024incomplete | 170 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77427 | 61% | 169 | 79 | $23K | |
| 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 | 22% | 176 | 170 | $8K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 12% | 236 | 24 | $4K |
| 77334 | 4.0% | 18 | 16 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $232.01 |
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.
From NPPES
Who's on the registration
Authorized officialJACKSON, MARY (DIRECTOR)
| 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 |
| 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 | $322K |
| 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.