Physician
Einstein Practice Plan INC
Einstein Practice Plan INC was paid $9.61M by Medicaid between May 2018 and Dec 2024, across 91 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 16% of everything it billed.
33Billing provider infoEINSTEIN PRACTICE PLAN INC
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
33aNPI1396703955assigned 05/03/2006
33bProvider typeNuclear Radiology Physician
28Total paid$9.61M
24GClaims333,465
24DCodes billed91
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Nuclear Radiology Physician providers in Pennsylvania
Rank by total paid#2 of 13
Median peer was paid$37K
This provider vs. median258×
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.
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 | |
|---|---|---|---|
| 2018 | 2,572 | $5K | |
| 2019 | 581 | $13K | |
| 2020 | 15,326 | $386K | |
| 2021 | 84,632 | $2.36M | |
| 2022 | 88,208 | $2.54M | |
| 2023 | 78,558 | $2.40M | |
| 2024incomplete | 63,588 | $1.91M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 16% | 18,984 | 18,579 | $1.49M |
| 70450 | Computed tomography, head or brain; without contrast material | 11% | 25,946 | 24,258 | $1.05M |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 8.2% | 20,342 | 20,009 | $786K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 6.4% | 20,298 | 19,967 | $613K |
| 71045 | Radiologic examination, chest; single view | 5.7% | 71,272 | 61,479 | $546K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 4.8% | 4,749 | 4,639 | $459K |
| 72125 | Computed tomography, cervical spine; without contrast material | 4.8% | 8,093 | 7,866 | $458K |
| 70496 | 4.3% | 4,266 | 4,143 | $409K | |
| 70498 | 3.9% | 4,022 | 3,907 | $378K | |
| 71046 | Radiologic examination, chest; 2 views | 3.7% | 35,373 | 34,699 | $354K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 2.3% | 3,122 | 3,048 | $216K |
| 76830 | Ultrasound, transvaginal | 2.2% | 5,745 | 5,647 | $209K |
79 more codes
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 2.1% | 3,299 | $204K |
| 76642 | 1.9% | 5,697 | $183K | |
| 77066 | Tomosynthesis, mammo | 1.5% | 3,419 | $147K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 1.4% | 4,666 | $132K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 1.4% | 1,709 | $131K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1.4% | 1,724 | $131K |
| 71250 | 1.3% | 2,592 | $124K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 1.2% | 1,550 | $114K |
| 77065 | Tomosynthesis, mammo | 1.0% | 2,953 | $98K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 2,049 | $85K |
| 70486 | <1% | 1,408 | $84K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 1,100 | $77K |
| 77062 | <1% | 2,392 | $76K | |
| 73130 | <1% | 7,681 | $73K | |
| 93975 | <1% | 843 | $64K | |
| 72141 | <1% | 854 | $63K | |
| 73630 | <1% | 6,687 | $61K | |
| 73030 | <1% | 5,665 | $61K | |
| 73610 | <1% | 5,725 | $57K | |
| 77061 | <1% | 1,807 | $56K | |
| 73562 | <1% | 4,663 | $54K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,163 | $52K |
| 73564 | <1% | 3,786 | $49K | |
| 71271 | <1% | 894 | $42K | |
| 72110 | <1% | 2,459 | $40K | |
| 73560 | <1% | 3,106 | $31K | |
| 76000 | <1% | 3,143 | $27K | |
| 73110 | <1% | 2,786 | $25K | |
| 76536 | <1% | 720 | $23K | |
| 73700 | <1% | 389 | $22K | |
| 73221 | <1% | 263 | $19K | |
| 49083 | <1% | 215 | $19K | |
| 74018 | <1% | 2,442 | $19K | |
| 73590 | <1% | 1,849 | $19K | |
| 73502 | <1% | 1,713 | $17K | |
| 77080 | <1% | 1,763 | $15K | |
| 72100 | <1% | 1,079 | $14K | |
| 99152 | <1% | 1,113 | $13K | |
| 93971 | <1% | 562 | $13K | |
| 93970 | <1% | 315 | $11K | |
| 76775 | <1% | 335 | $9K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 216 | $8K |
| 73701 | <1% | 96 | $6K | |
| 75574 | <1% | 53 | $6K | |
| 76770 | <1% | 151 | $5K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 301 | $5K |
| 73080 | <1% | 507 | $5K | |
| 72040 | <1% | 392 | $5K | |
| 73090 | <1% | 512 | $5K | |
| 72170 | <1% | 569 | $5K | |
| 74183 | <1% | 56 | $4K | |
| 72050 | <1% | 244 | $4K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 63 | $4K |
| 70491 | <1% | 57 | $4K | |
| 73552 | <1% | 401 | $3K | |
| 76937 | <1% | 306 | $3K | |
| 19083 | <1% | 12 | $3K | |
| 78306 | <1% | 70 | $3K | |
| 73523 | <1% | 153 | $2K | |
| 72070 | <1% | 140 | $2K | |
| 74174 | <1% | 18 | $2K | |
| 77049 | <1% | 13 | $1K | |
| 70544 | <1% | 14 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 13 | $960.47 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 25 | $700.38 |
| 73060 | <1% | 72 | $535.44 | |
| 73140 | <1% | 89 | $524.62 | |
| 72114 | <1% | 25 | $434.40 | |
| 73620 | <1% | 56 | $426.83 | |
| 74022 | <1% | 26 | $414.04 | |
| 72020 | <1% | 40 | $384.80 | |
| 76376 | <1% | 29 | $206.55 | |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | <1% | 7,705 | $138.34 |
| 99153 | Mod sedat endo service >5yrs | <1% | 48 | $124.27 |
| 77001 | <1% | 14 | $89.78 | |
| 7025F | <1% | 110 | $0.82 | |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | <1% | 14 | $0.13 |
| G9557 | Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found | 0% | 12 | $0.00 |
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | 0% | 53 | $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.
From NPPES
Who's on the registration
Authorized officialACHUFF, HELENE (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Einstein Practice Plan, INC. | Philadelphia, PA | $4.32M |
| Einstein Practice Plan INC | Philadelphia, PA | $1.11M |
| Einstein Practice Plan INC | Philadelphia, PA | $243K |
| Einstein Practice Plan, INC. | Philadelphia, PA | $186K |
| Einstein Practice Plan, INC. | Philadelphia, PA | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.