Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1508822180 · ELKINS PARK, PA 19027 · Surgery Physician · NPI assigned 04/24/2006

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

Authorized official BARGERON, FRANCINE controls 17+ related entities in our dataset. Read more

$170K
Total Medicaid Paid
2,488
Total Claims
2,027
Beneficiaries
8
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARGERON, FRANCINE (DIRECTOR)
NPI Enumeration Date04/24/2006

Related Entities

Other providers sharing the same authorized official: BARGERON, FRANCINE

ProviderCityStateTotal Paid
EINSTEIN PRACTICE PLAN, INC PHILADELPHIA PA $11.46M
EINSTEIN PRACTICE PLAN INC PHILA PA $8.02M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4.26M
EINSTEIN PRACTICE PLAN INC ELKINS PARK PA $2.02M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.89M
EINSTEIN PRACTICE PLAN, INC PHILADELPHIA PA $1.73M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.65M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.40M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.23M
EINSTEIN PRACTICE PLAN, INC PHILADELPHIA PA $977K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $926K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $774K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $636K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $551K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $400K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $15K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 89 $3K
2022 702 $47K
2023 829 $61K
2024 868 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 295 147 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 976 940 $36K
99205 Prolong outpt/office vis 241 236 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 430 398 $24K
99233 Prolong inpt eval add15 m 320 162 $23K
99232 Subsequent hospital care, per day, moderate complexity 184 106 $10K
99284 Emergency department visit for the evaluation and management, high severity 14 13 $1K
99024 28 25 $0.00