Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN, INC

NPI: 1821023805 · PHILADELPHIA, PA 19141 · Medical Oncology Physician · NPI assigned 07/11/2006

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

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

$977K
Total Medicaid Paid
17,297
Total Claims
15,482
Beneficiaries
13
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBARGERON, FRANCINE (DIRECTOR)
NPI Enumeration Date07/11/2006

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 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 $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 25 $60.57
2020 612 $34K
2021 4,121 $243K
2022 3,959 $209K
2023 4,808 $283K
2024 3,772 $209K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,177 8,317 $480K
99215 Prolong outpt/office vis 3,167 2,613 $239K
99245 515 476 $79K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,846 1,806 $65K
99244 Office or other outpatient consultation, moderate to high complexity 374 362 $48K
85060 1,498 1,271 $25K
99255 316 301 $23K
99232 Subsequent hospital care, per day, moderate complexity 131 67 $5K
99205 Prolong outpt/office vis 36 36 $5K
99254 67 67 $4K
99243 43 43 $4K
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) 115 111 $749.51
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $619.74