Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1457304198 · PHILADELPHIA, PA 19141 · Emergency Medicine Physician · NPI assigned 05/17/2006

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

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

$13.85M
Total Medicaid Paid
238,423
Total Claims
229,767
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR EINSTEIN PRACTICE PLAN INC)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: JACKSON, MARY

ProviderCityStateTotal Paid
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 $38K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 309 $7K
2019 483 $27K
2020 13,599 $642K
2021 64,018 $2.95M
2022 62,512 $2.77M
2023 58,512 $4.03M
2024 38,990 $3.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 84,552 82,262 $5.99M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 76,198 73,520 $5.88M
99283 Emergency department visit for the evaluation and management, moderate severity 25,800 25,023 $1.17M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 47,177 44,475 $376K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,374 1,330 $217K
99220 760 733 $68K
99223 Prolong inpt eval add15 m 624 600 $57K
99238 Hospital discharge day management, 30 minutes or less 668 644 $34K
99217 792 765 $27K
99232 Subsequent hospital care, per day, moderate complexity 213 165 $11K
99226 140 131 $7K
99233 Prolong inpt eval add15 m 44 38 $3K
99236 Prolong inpt eval add15 m 12 12 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 40 40 $811.18
99282 Emergency department visit for the evaluation and management, low to moderate severity 17 17 $545.03
93308 12 12 $231.60