Einstein Practice Plan INC
Einstein Practice Plan INC was paid $4K by Medicaid between Mar 2022 and Jan 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
PHILADELPHIA, PA 19141
Next to other Neurological Surgery Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 51 | $2K | |
| 2023 | 42 | $2K | |
| 2024incomplete | 12 | $515.68 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 56 | 55 | $2K |
| 99252 | 12% | 12 | 12 | $440.24 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 12% | 12 | 12 | $429.26 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.3% | 12 | 12 | $343.15 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.9% | 13 | 13 | $327.96 |
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.
Who's on the registration
| 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 | $551K |
| Einstein Practice Plan INC | Philadelphia, PA | $400K |
| Einstein Practice Plan INC | Elkins Park, PA | $170K |
| Einstein Practice Plan INC | Philadelphia, PA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.