Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1598723165 · PHILADELPHIA, PA 19141 · Cardiovascular Disease Physician · NPI assigned 05/03/2006

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

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

$2.98M
Total Medicaid Paid
110,181
Total Claims
100,618
Beneficiaries
44
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR EINSTEIN PRACTICE PLAN INC)
NPI Enumeration Date05/03/2006

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 $2.46M
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 1,468 $1K
2019 240 $2K
2020 3,826 $73K
2021 19,517 $456K
2022 30,085 $837K
2023 30,089 $882K
2024 24,956 $725K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,355 14,739 $676K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,062 10,850 $486K
93000 27,788 26,855 $483K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 40,127 35,294 $356K
99233 Prolong inpt eval add15 m 4,261 2,308 $284K
99244 Office or other outpatient consultation, moderate to high complexity 1,952 1,907 $258K
99223 Prolong inpt eval add15 m 819 771 $97K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 664 649 $63K
99215 Prolong outpt/office vis 726 697 $46K
99232 Subsequent hospital care, per day, moderate complexity 1,221 691 $45K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 281 105 $35K
99254 401 387 $35K
99245 178 174 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 602 586 $17K
99239 Hospital discharge day management, more than 30 minutes 205 200 $14K
99152 837 790 $12K
93016 441 428 $10K
93018 441 428 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 55 54 $5K
93458 12 12 $4K
99255 15 15 $3K
93308 172 164 $3K
93356 115 114 $3K
99205 Prolong outpt/office vis 25 25 $2K
76937 167 153 $2K
3078F 913 894 $1K
99238 Hospital discharge day management, 30 minutes or less 15 15 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $966.64
99253 24 24 $818.04
3077F 356 348 $751.06
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) 90 88 $524.19
99406 63 62 $495.77
3074F 364 361 $411.45
99407 15 15 $297.61
93244 13 12 $189.96
3080F 40 39 $135.08
93242 12 12 $75.59
93294 26 26 $43.82
93296 57 57 $23.62
3075F 13 12 $15.00
3079F 91 90 $0.39
93295 20 20 $0.00
93299 66 66 $0.00
93297 67 67 $0.00