Einstein Practice Plan INC
Einstein Practice Plan INC was paid $636K by Medicaid between Aug 2020 and Nov 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 50% of everything it billed.
PHILADELPHIA, PA 19141
Next to other Infectious Disease 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 | |
|---|---|---|---|
| 2020 | 451 | $9K | |
| 2021 | 2,000 | $73K | |
| 2022 | 2,581 | $146K | |
| 2023 | 3,166 | $217K | |
| 2024incomplete | 2,346 | $190K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 50% | 6,809 | 3,022 | $315K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 32% | 2,495 | 1,153 | $207K |
| 99254 | 12% | 864 | 854 | $76K | |
| 99255 | 5.5% | 307 | 306 | $35K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 41 | 38 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | 27 | $1K |
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 | $551K |
| Einstein Practice Plan INC | Philadelphia, PA | $400K |
| Einstein Practice Plan INC | Elkins Park, PA | $170K |
| Einstein Practice Plan INC | Philadelphia, PA | $15K |
| Einstein Practice Plan INC | Philadelphia, PA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.