Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN, INC

NPI: 1538211552 · PHILADELPHIA, PA 19141 · Maternal & Fetal Medicine Physician · NPI assigned 01/18/2007

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

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

$1.73M
Total Medicaid Paid
43,250
Total Claims
35,438
Beneficiaries
20
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARGERON, FRANCINE (DIRECTOR)
NPI Enumeration Date01/18/2007

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 $1.65M
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 ELKINS PARK PA $170K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $15K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 657 $362.92
2020 1,330 $48K
2021 7,377 $269K
2022 9,376 $406K
2023 11,814 $507K
2024 12,696 $499K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,044 20,490 $925K
99232 Subsequent hospital care, per day, moderate complexity 10,724 3,721 $501K
99254 1,182 1,156 $104K
99244 Office or other outpatient consultation, moderate to high complexity 697 689 $94K
95251 2,660 2,579 $60K
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) 2,177 2,115 $19K
99215 Prolong outpt/office vis 86 86 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,411 1,389 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 143 142 $5K
3074F 1,338 1,315 $3K
3078F 1,147 1,125 $2K
3079F 345 344 $1K
99222 Initial hospital care, per day, moderate complexity 13 12 $418.86
3077F 115 113 $360.08
99457 17 13 $321.52
3044F 61 60 $240.00
3075F 53 52 $160.00
3051F 12 12 $50.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $0.00
99443 13 13 $0.00