Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1760086219 · PHILADELPHIA, PA 19141 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 11/25/2020

$243K
Total Medicaid Paid
3,824
Total Claims
3,774
Beneficiaries
8
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialACHUFF, HELENE (DIRECTOR)
NPI Enumeration Date11/25/2020

Related Entities

Other providers sharing the same authorized official: ACHUFF, HELENE

ProviderCityStateTotal Paid
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $9.61M
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $4.32M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.11M
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $186K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 131 $13K
2022 1,002 $65K
2023 1,770 $113K
2024 921 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 583 572 $58K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,060 1,044 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 991 976 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 531 528 $32K
95811 188 188 $26K
95810 Polysomnography; sleep staging with 4 or more additional parameters 279 275 $24K
95807 136 135 $8K
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) 56 56 $753.38