Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1801853288 · PHILADELPHIA, PA 19141 · Internal Medicine Physician · NPI assigned 04/28/2006

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

Authorized official BARGERON, FRANCINE controls 17+ related entities in our dataset. Read more

$4.26M
Total Medicaid Paid
75,872
Total Claims
48,880
Beneficiaries
14
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARGERON, FRANCINE (DIRECTOR EINSTEIN PRACTICE PLAN INC)
NPI Enumeration Date04/28/2006

Related Entities

Other providers sharing the same authorized official: BARGERON, FRANCINE

ProviderCityStateTotal Paid
EINSTEIN PRACTICE PLAN, INC PHILADELPHIA PA $11.46M
EINSTEIN PRACTICE PLAN INC PHILA PA $8.02M
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 $636K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 423 $495.25
2020 3,203 $62K
2021 14,947 $546K
2022 21,127 $1.24M
2023 20,904 $1.32M
2024 15,268 $1.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 38,117 18,695 $1.68M
99223 Prolong inpt eval add15 m 9,281 8,928 $1.07M
99233 Prolong inpt eval add15 m 14,609 8,677 $869K
99238 Hospital discharge day management, 30 minutes or less 7,864 7,414 $229K
99222 Initial hospital care, per day, moderate complexity 2,459 2,362 $212K
99239 Hospital discharge day management, more than 30 minutes 1,571 1,485 $110K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,124 526 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 159 145 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 384 365 $24K
99220 84 81 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 152 140 $4K
99217 31 29 $1K
99225 22 18 $619.58
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 15 15 $363.15