Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1922050509 · PHILADELPHIA, PA 19115 · Surgery Physician · NPI assigned 05/16/2006

$1.11M
Total Medicaid Paid
13,012
Total Claims
10,306
Beneficiaries
19
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialACHUFF, HELENE (MANAGER)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: ACHUFF, HELENE

ProviderCityStateTotal Paid
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $9.61M
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $4.32M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $243K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $186K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 748 $44K
2021 3,821 $271K
2022 3,285 $227K
2023 3,315 $382K
2024 1,843 $185K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,847 946 $293K
19318 264 173 $225K
99233 Prolong inpt eval add15 m 2,230 1,434 $136K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,253 1,218 $132K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,576 1,523 $77K
99243 578 568 $50K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,170 1,122 $41K
99232 Subsequent hospital care, per day, moderate complexity 867 554 $35K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,146 762 $29K
99244 Office or other outpatient consultation, moderate to high complexity 163 163 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 710 691 $20K
99242 271 267 $17K
45300 482 479 $16K
99223 Prolong inpt eval add15 m 83 77 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 26 26 $6K
46930 12 12 $1K
99221 12 12 $820.75
99241 13 13 $461.04
99024 309 266 $0.00