Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1649223934 · PHILA, PA 19141 · Rheumatology Physician · NPI assigned 05/18/2006

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

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

$624K
Total Medicaid Paid
9,921
Total Claims
9,389
Beneficiaries
10
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR-EINSTEIN PRACTICE PLAN INC)
NPI Enumeration Date05/18/2006

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 $2.98M
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
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 12 $34.39
2020 371 $25K
2021 1,781 $131K
2022 1,493 $105K
2023 2,169 $158K
2024 4,095 $205K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,354 5,073 $304K
99244 Office or other outpatient consultation, moderate to high complexity 889 882 $133K
99215 Prolong outpt/office vis 1,066 1,001 $89K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 343 316 $34K
99205 Prolong outpt/office vis 188 187 $24K
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) 1,546 1,456 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 461 422 $14K
99245 26 26 $5K
99232 Subsequent hospital care, per day, moderate complexity 36 14 $2K
99254 12 12 $875.70