Physician
Einstein Practice Plan INC
Einstein Practice Plan INC was paid $551K by Medicaid between May 2018 and Nov 2024, across 22 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 53% of everything it billed.
33Billing provider infoEINSTEIN PRACTICE PLAN INC
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
33aNPI1609827757assigned 05/13/2006
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$551K
24GClaims17,149
24DCodes billed22
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in Pennsylvania
Rank by total paid#2 of 47
Median peer was paid$14K
This provider vs. median39×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BARGERON, FRANCINE controls 17+ related entities in our dataset. Read more
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 | 890 | $124.33 | |
| 2020 | 516 | $3K | |
| 2021 | 2,902 | $78K | |
| 2022 | 4,539 | $128K | |
| 2023 | 4,475 | $156K | |
| 2024incomplete | 3,827 | $187K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 53% | 6,976 | 1,020 | $294K |
| 99350 | Prolong home eval add 15m | 22% | 5,139 | 4,903 | $121K |
| 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 | 12% | 2,754 | 2,559 | $64K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.7% | 1,047 | 946 | $37K |
| 99254 | 2.5% | 127 | 122 | $14K | |
| 99349 | 1.2% | 302 | 296 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 208 | 203 | $6K |
| 99253 | <1% | 78 | 75 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | 17 | $2K |
| 99310 | Prolong nursin fac eval 15m | <1% | 12 | 12 | $1K |
| 99335 | <1% | 17 | 17 | $734.42 | |
| 99497 | <1% | 35 | 35 | $683.02 |
10 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 15 | $612.17 |
| 90686 | <1% | 12 | $221.10 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 24 | $127.55 |
| 3078F | <1% | 77 | $90.00 | |
| 3074F | <1% | 17 | $20.00 | |
| 3079F | <1% | 13 | $10.00 | |
| 90662 | 0% | 14 | $0.00 | |
| 90658 | 0% | 12 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 144 | $0.00 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 109 | $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 officialBARGERON, FRANCINE (DIRECTOR)
| Provider | Location | 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 | $400K |
| Einstein Practice Plan INC | Elkins Park, PA | $170K |
| Einstein Practice Plan INC | Philadelphia, PA | $15K |
| Einstein Practice Plan INC | Philadelphia, PA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.