Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1760434468 · PHILADELPHIA, PA 19141 · Psychiatry Physician · NPI assigned 05/17/2006

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

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

$4K
Total Medicaid Paid
949
Total Claims
685
Beneficiaries
4
Codes Billed
2020-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (DIRECTOR EINSTEIN PRACTICE PLAN INC)
NPI Enumeration Date05/17/2006

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
EINSTEIN PRACTICE PLAN INC PHILA PA $624K
ABBEVILLE COUNTY MEMORIAL HOSPITAL DUE WEST SC $364K
EINSTEIN PRACTICE PLAN,INC PHILADELPHIA PA $322K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 179 $293.20
2021 436 $1K
2022 78 $113.47
2023 139 $1K
2024 117 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 737 533 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12 12 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 140 126 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 60 14 $219.80