Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1477510154 · PHILADELPHIA, PA 19141 · Orthopaedic Surgery Physician · NPI assigned 04/27/2006

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

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

$2.46M
Total Medicaid Paid
53,886
Total Claims
50,137
Beneficiaries
27
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR EINSTEIN PRACTICE PLAN INC)
NPI Enumeration Date04/27/2006

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 $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 24 $23.50
2020 2,828 $138K
2021 15,141 $685K
2022 12,903 $613K
2023 12,952 $575K
2024 10,038 $447K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,794 20,915 $899K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,329 9,127 $635K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,440 5,269 $347K
20610 9,119 7,067 $315K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,535 1,503 $168K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 923 898 $25K
73562 594 500 $19K
64721 44 38 $13K
73130 341 302 $9K
73030 152 129 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,062 2,011 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 871 853 $3K
20550 89 75 $3K
73100 127 118 $3K
73140 145 120 $3K
99232 Subsequent hospital care, per day, moderate complexity 38 25 $2K
99222 Initial hospital care, per day, moderate complexity 15 13 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 83 82 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 376 373 $1K
73564 15 14 $688.90
73522 13 13 $605.49
99252 12 12 $513.10
72100 12 12 $498.98
73080 13 12 $346.91
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $36.28
J1010 Injection, methylprednisolone acetate, 1 mg 89 88 $1.75
99024 643 556 $0.00