Physician
Einstein Practice Plan, INC.
Einstein Practice Plan, INC. was paid $186K by Medicaid between Aug 2021 and Nov 2024, across 12 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 34% of everything it billed.
33Billing provider infoEINSTEIN PRACTICE PLAN, INC.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
33aNPI1518451681assigned 06/21/2018
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$186K
24GClaims3,563
24DCodes billed12
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Pennsylvania
Rank by total paid#21 of 60
Median peer was paid$37K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2021 | 90 | $6K | |
| 2022 | 1,380 | $91K | |
| 2023 | 1,061 | $45K | |
| 2024incomplete | 1,032 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 34% | 1,168 | 1,106 | $63K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 10% | 505 | 400 | $19K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 9.8% | 95 | 94 | $18K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 9.8% | 263 | 257 | $18K |
| 76801 | 8.7% | 225 | 223 | $16K | |
| 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 | 7.9% | 233 | 200 | $15K |
| 59025 | Fetal non-stress test | 7.0% | 722 | 525 | $13K |
| 76813 | 5.7% | 141 | 141 | $11K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.8% | 120 | 119 | $7K |
| 99243 | 1.6% | 38 | 37 | $3K | |
| 76820 | <1% | 36 | 29 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 17 | 15 | $746.30 |
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 (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Einstein Practice Plan INC | Philadelphia, PA | $9.61M |
| 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 | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.