Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Einstein Practice Plan INC

Einstein Practice Plan INC was paid $1.65M by Medicaid between Sep 2018 and Dec 2024, across 17 billing codes. Its largest line is 01967, Neuraxial labor analgesia/anesthesia for planned vaginal delivery — 38% of everything it billed.

33Billing provider infoEINSTEIN PRACTICE PLAN INC
PHILADELPHIA, PA 19141
33aNPI1740232321assigned 05/16/2006
33bProvider typeAnesthesiology Physician
28Total paid$1.65M
24GClaims16,029
24DCodes billed17
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Pennsylvania

Rank by total paid#9 of 168
Median peer was paid$9K
This provider vs. median175×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201816$258.01
2020708$71K
20214,678$465K
20224,496$475K
20233,942$421K
2024incomplete2,189$222K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 38% 4,247 3,046 $625K
00811 15% 3,183 2,212 $249K
00731 15% 3,032 2,116 $240K
00812 11% 2,377 1,579 $181K
00813 8.9% 1,496 1,020 $147K
01961 5.7% 341 288 $94K
00402 2.8% 264 188 $46K
01810 1.8% 386 250 $30K
00142 <1% 198 168 $13K
00797 <1% 38 26 $10K
01991 <1% 184 131 $8K
00840 <1% 17 12 $3K
5 more codes
00520 <1% 26 $3K
00732 <1% 19 $2K
64450 <1% 87 $2K
00400 <1% 19 $2K
99100 0% 115 $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 EINSTEIN PRACTICE PLAN INC)
Same official

Other billing entities under BARGERON, FRANCINE

Full network →
ProviderLocationPaid
Einstein Practice Plan, INCPhiladelphia, PA$11.46M
Einstein Practice Plan INCPhila, PA$8.02M
Einstein Practice Plan INCPhiladelphia, PA$4.26M
Einstein Practice Plan INCElkins Park, PA$2.02M
Einstein Practice Plan INCPhiladelphia, PA$1.89M
Einstein Practice Plan, INCPhiladelphia, PA$1.73M
Einstein Practice Plan INCPhiladelphia, PA$1.40M
Einstein Practice Plan INCPhiladelphia, PA$1.23M
Einstein Practice Plan, INCPhiladelphia, PA$977K
Einstein Practice Plan, INC.Philadelphia, PA$926K
Einstein Practice Plan, INC.Philadelphia, PA$774K
Einstein Practice Plan INCPhiladelphia, PA$636K
Einstein Practice Plan INCPhiladelphia, PA$551K
Einstein Practice Plan INCPhiladelphia, PA$400K
Einstein Practice Plan INCElkins Park, PA$170K
Einstein Practice Plan INCPhiladelphia, PA$15K
Einstein Practice Plan INCPhiladelphia, PA$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.