Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1609827757 · PHILADELPHIA, PA 19141 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 05/13/2006

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

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

$551K
Total Medicaid Paid
17,149
Total Claims
10,590
Beneficiaries
22
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBARGERON, FRANCINE (DIRECTOR)
NPI Enumeration Date05/13/2006

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 $1.73M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 890 $124.33
2020 516 $3K
2021 2,902 $78K
2022 4,539 $128K
2023 4,475 $156K
2024 3,827 $187K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 6,976 1,020 $294K
99350 Prolong home eval add 15m 5,139 4,903 $121K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,754 2,559 $64K
99215 Prolong outpt/office vis 1,047 946 $37K
99254 127 122 $14K
99349 302 296 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 208 203 $6K
99253 78 75 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 17 17 $2K
99310 Prolong nursin fac eval 15m 12 12 $1K
99335 17 17 $734.42
99497 35 35 $683.02
99233 Prolong inpt eval add15 m 15 12 $612.17
90686 12 12 $221.10
99309 Subsequent nursing facility care, per day, low to moderate complexity 24 24 $127.55
3078F 77 76 $90.00
3074F 17 17 $20.00
3079F 13 13 $10.00
90662 14 12 $0.00
90658 12 12 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 144 98 $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 109 109 $0.00