Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN, INC.

NPI: 1922047463 · PHILADELPHIA, PA 19141 · Neurology Physician · NPI assigned 06/06/2006

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

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

$926K
Total Medicaid Paid
13,025
Total Claims
10,559
Beneficiaries
27
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBARGERON, FRANCINE (DIRECTOR)
NPI Enumeration Date06/06/2006

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 223 $13K
2021 1,785 $107K
2022 3,505 $246K
2023 4,729 $354K
2024 2,783 $206K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,074 3,016 $180K
95886 2,579 1,985 $144K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 845 375 $134K
99233 Prolong inpt eval add15 m 1,434 834 $106K
99232 Subsequent hospital care, per day, moderate complexity 1,238 665 $63K
95911 400 387 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 433 423 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,096 1,073 $38K
99215 Prolong outpt/office vis 467 448 $34K
95913 194 190 $32K
95720 123 75 $21K
99223 Prolong inpt eval add15 m 136 130 $16K
99244 Office or other outpatient consultation, moderate to high complexity 103 102 $15K
95910 130 128 $12K
95812 191 184 $11K
99238 Hospital discharge day management, 30 minutes or less 232 214 $8K
95700 30 28 $5K
99254 43 43 $3K
95912 14 14 $2K
95909 32 29 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30 30 $2K
99253 25 24 $2K
99243 23 21 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 53 44 $2K
99205 Prolong outpt/office vis 13 13 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 42 $1K
95816 42 42 $442.80