Physician
Einstein Practice Plan, INC.
Einstein Practice Plan, INC. was paid $926K by Medicaid between Oct 2020 and Nov 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoEINSTEIN PRACTICE PLAN, INC.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
33aNPI1922047463assigned 06/06/2006
33bProvider typeNeurology Physician
28Total paid$926K
24GClaims13,025
24DCodes billed27
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Pennsylvania
Rank by total paid#3 of 165
Median peer was paid$5K
This provider vs. median169×
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 BARGERON, FRANCINE controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 223 | $13K | |
| 2021 | 1,785 | $107K | |
| 2022 | 3,505 | $246K | |
| 2023 | 4,729 | $354K | |
| 2024incomplete | 2,783 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 19% | 3,074 | 3,016 | $180K |
| 95886 | 16% | 2,579 | 1,985 | $144K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 14% | 845 | 375 | $134K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 1,434 | 834 | $106K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.8% | 1,238 | 665 | $63K |
| 95911 | 5.0% | 400 | 387 | $46K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.6% | 433 | 423 | $43K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 1,096 | 1,073 | $38K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.7% | 467 | 448 | $34K |
| 95913 | 3.4% | 194 | 190 | $32K | |
| 95720 | 2.3% | 123 | 75 | $21K | |
| 99223 | Prolong inpt eval add15 m | 1.8% | 136 | 130 | $16K |
15 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.6% | 103 | $15K |
| 95910 | 1.3% | 130 | $12K | |
| 95812 | 1.2% | 191 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 232 | $8K |
| 95700 | <1% | 30 | $5K | |
| 99254 | <1% | 43 | $3K | |
| 95912 | <1% | 14 | $2K | |
| 95909 | <1% | 32 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $2K |
| 99253 | <1% | 25 | $2K | |
| 99243 | <1% | 23 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 53 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $1K |
| 95816 | <1% | 42 | $442.80 |
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 officialBARGERON, FRANCINE (DIRECTOR)
| 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 | $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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.