Physician
Einstein Community Health Associates, INC
Einstein Community Health Associates, INC was paid $17.63M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoEINSTEIN COMMUNITY HEALTH ASSOCIATES, INC
PHILA, PA 19120
PHILA, PA 19120
33aNPI1558316109assigned 05/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$17.63M
24GClaims644,739
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#4 of 2,756
Median peer was paid$19K
This provider vs. median919×
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 | |
|---|---|---|---|
| 2018 | 6,993 | $177K | |
| 2019 | 8,144 | $223K | |
| 2020 | 42,779 | $1.10M | |
| 2021 | 164,043 | $4.36M | |
| 2022 | 151,996 | $4.05M | |
| 2023 | 138,024 | $4.04M | |
| 2024incomplete | 132,760 | $3.67M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 21% | 78,342 | 74,426 | $3.63M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 93,383 | 88,613 | $3.14M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 26,359 | 25,598 | $2.86M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 20,764 | 19,311 | $2.08M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 23,345 | 22,479 | $1.48M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 15,649 | 14,937 | $1.06M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 39,630 | 36,938 | $484K |
| 92551 | 2.5% | 32,360 | 31,077 | $433K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 2,778 | 2,708 | $254K |
| 99188 | 1.1% | 10,664 | 10,232 | $198K | |
| 87428 | <1% | 2,485 | 2,387 | $148K | |
| 90686 | <1% | 22,169 | 22,009 | $128K |
90 more codes
| 99381 | <1% | 1,789 | $122K | |
| 90734 | <1% | 3,704 | $103K | |
| 99385 | <1% | 1,643 | $94K | |
| 99177 | <1% | 10,091 | $93K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 9,957 | $91K |
| 99173 | <1% | 31,597 | $79K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12,588 | $69K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,127 | $68K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 874 | $66K |
| 90461 | <1% | 9,052 | $66K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 22,124 | $65K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,176 | $63K |
| 90651 | <1% | 6,377 | $57K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,680 | $57K |
| 90670 | <1% | 12,109 | $54K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,410 | $53K |
| 90715 | <1% | 5,363 | $40K | |
| 90698 | <1% | 8,036 | $38K | |
| 90633 | <1% | 8,511 | $38K | |
| 96127 | <1% | 12,000 | $33K | |
| 90682 | <1% | 1,921 | $31K | |
| 90680 | <1% | 8,185 | $30K | |
| 90620 | <1% | 2,939 | $30K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 451 | $26K |
| 90677 | <1% | 3,215 | $17K | |
| 90744 | <1% | 3,698 | $17K | |
| 90697 | <1% | 4,923 | $16K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 302 | $15K |
| 90707 | <1% | 3,150 | $13K | |
| 90716 | <1% | 3,284 | $13K | |
| 99383 | <1% | 172 | $13K | |
| 3078F | <1% | 3,121 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,204 | $12K |
| 90696 | <1% | 3,121 | $12K | |
| 90710 | <1% | 3,319 | $11K | |
| 3074F | <1% | 2,478 | $11K | |
| G0008 | Administration of influenza virus vaccine | <1% | 969 | $10K |
| 90656 | <1% | 2,129 | $9K | |
| 3079F | <1% | 1,658 | $7K | |
| 99386 | <1% | 146 | $7K | |
| 3077F | <1% | 1,702 | $7K | |
| 90619 | <1% | 2,288 | $7K | |
| 0012A | <1% | 117 | $5K | |
| 94664 | <1% | 203 | $5K | |
| 90732 | <1% | 81 | $4K | |
| 90746 | <1% | 125 | $4K | |
| 0011A | <1% | 116 | $4K | |
| 3075F | <1% | 749 | $3K | |
| 99442 | <1% | 111 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 99 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 48 | $2K |
| 90662 | <1% | 341 | $2K | |
| 3080F | <1% | 521 | $2K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 112 | $2K |
| 90700 | <1% | 381 | $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) | <1% | 132 | $1K |
| 90648 | <1% | 249 | $1K | |
| 83655 | <1% | 356 | $1K | |
| 99000 | <1% | 35,267 | $1K | |
| 99174 | <1% | 201 | $910.06 | |
| 96161 | <1% | 1,415 | $895.69 | |
| 99384 | <1% | 12 | $894.12 | |
| 90688 | <1% | 651 | $843.00 | |
| 90713 | <1% | 108 | $711.17 | |
| 86580 | <1% | 180 | $699.43 | |
| 90480 | <1% | 52 | $662.84 | |
| 69210 | <1% | 30 | $658.74 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 71 | $581.08 |
| 3044F | <1% | 133 | $535.00 | |
| 81002 | <1% | 867 | $484.05 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 82 | $466.27 |
| 99406 | <1% | 41 | $422.70 | |
| 93000 | <1% | 13 | $400.98 | |
| 87807 | <1% | 193 | $376.85 | |
| 81025 | <1% | 82 | $313.61 | |
| 99441 | <1% | 14 | $201.78 | |
| 96160 | <1% | 152 | $181.37 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 129 | $162.50 |
| 36416 | <1% | 3,221 | $81.68 | |
| G0405 | Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination | <1% | 17 | $56.00 |
| G9920 | Screening performed and negative | <1% | 4,310 | $11.60 |
| 1160F | <1% | 34 | $0.07 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 14 | $0.03 |
| 1124F | 0% | 1,981 | $0.00 | |
| 90630 | 0% | 46 | $0.00 | |
| 90687 | 0% | 13 | $0.00 | |
| 91321 | 0% | 92 | $0.00 | |
| 91322 | 0% | 12 | $0.00 | |
| 1123F | 0% | 41 | $0.00 | |
| 96156 | 0% | 13 | $0.00 |
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 officialJONES, TIFFANY (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| LA Xpress Transportation LLC | Winnsboro, LA | $30K |
| Einstein Community Health Associates, INC | Philadelphia, PA | $26K |
| Einstein Practice Plan INC | Philadelphia, PA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.