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

Einstein Practice Plan INC

Einstein Practice Plan INC was paid $4K by Medicaid between Jul 2020 and Oct 2024, across 4 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 41% of everything it billed.

33Billing provider infoEINSTEIN PRACTICE PLAN INC
PHILADELPHIA, PA 19141
33aNPI1760434468assigned 05/17/2006
33bProvider typePsychiatry Physician
28Total paid$4K
24GClaims949
24DCodes billed4
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers

Next to other Psychiatry Physician providers in Pennsylvania

Rank by total paid#173 of 244
Median peer was paid$30K
This provider vs. median0.1×

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 JACKSON, MARY controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
2020179$293.20
2021436$1K
202278$113.47
2023139$1K
2024incomplete117$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99308 Subsequent nursing facility care, per day, straightforward 41% 737 533 $2K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 28% 12 12 $1K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25% 140 126 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 5.2% 60 14 $219.80

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 officialJACKSON, MARY (DIRECTOR EINSTEIN PRACTICE PLAN INC)
Same official

Other billing entities under JACKSON, MARY

Full network →
ProviderLocationPaid
Einstein Practice Plan INCPhiladelphia, PA$13.85M
Always on Time Homecare LLCLuthersville, GA$8.22M
Einstein Practice Plan INCPhiladelphia, PA$2.98M
Einstein Practice Plan INCPhiladelphia, PA$2.46M
Einstein Practice Plan INCPhiladelphia, PA$1.99M
Geriatric Care SolutionsSaint Charles, MO$1.52M
Abbeville County Memorial HospitalAbbeville, SC$1.46M
Einstein Practice Plan INCPhila, PA$1.05M
Einstein Practice Plan, INC.Philadelphia, PA$682K
Einstein Practice Plan INCPhila, PA$624K
Abbeville County Memorial HospitalDue West, SC$364K
Einstein Practice Plan,incPhiladelphia, PA$322K
Einstein Practice Plan INCPhiladelphia, PA$38K

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