Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Einstein Practice Plan, INC.

Einstein Practice Plan, INC. was paid $594K by Medicaid between Sep 2020 and Nov 2024, across 19 billing codes. Its largest line is G2066, Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results — 23% of everything it billed.

33Billing provider infoEINSTEIN PRACTICE PLAN, INC.
PHILADELPHIA, PA 19141
33aNPI1952819633assigned 01/17/2018
28Total paid$594K
24GClaims24,828
24DCodes billed19
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers

Next to other Clinical Cardiac Electrophysiology Physician providers in Pennsylvania

Rank by total paid#9 of 71
Median peer was paid$5K
This provider vs. median123×

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 CANDIA, DAWN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20201,172$22K
20214,254$93K
20225,357$130K
20238,602$213K
2024incomplete5,443$136K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 23% 4,425 4,285 $135K
93297 18% 5,876 5,744 $109K
93295 16% 2,707 2,661 $96K
93296 12% 4,135 4,051 $68K
93298 6.7% 1,637 1,590 $40K
93000 5.5% 1,949 1,887 $32K
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 4.4% 644 622 $26K
93282 3.8% 575 563 $22K
93294 3.7% 1,382 1,347 $22K
93280 2.3% 519 508 $14K
93283 1.1% 162 159 $7K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.1% 111 67 $7K
7 more codes
93284 <1% 96 $4K
99213 Doctor's office visit, returning patient (routine) <1% 116 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 296 $2K
93291 <1% 72 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 16 $1K
99232 Hospital visit by a doctor, follow-up day <1% 79 $1K
99254 <1% 31 $1K

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 officialCANDIA, DAWN (PROVIDER ENROLLMENT)
Same official

Other billing entities under CANDIA, DAWN

Full network →
ProviderLocationPaid
Advocare, LLCMarlton, NJ$32.12M
Advocare, LLCCedar Knolls, NJ$769K
Advocare, LLCCherry Hill, NJ$719K
Advocare, LLCWest Deptford, NJ$580K
Advocare, LLCBlackwood, NJ$462K
Advocare, LLCUnion City, NJ$360K
Advocare LLCBergenfield, NJ$329K
Advocare, LLCDelran, NJ$272K
Advocare, LLCVoorhees, NJ$253K
Advocare, LLCWenonah, NJ$192K
Advocare, LLCEast Brunswick, NJ$150K
Advocare , LLCPhiladelphia, PA$125K
Advocare, LLCMt Arlington, NJ$109K
Advocare , LLCClifton, NJ$81K
Einstein Practice Plan, INC.Philadelphia, PA$77K
Advocare , LLCMarlton, NJ$71K
Advocare , LLCBerlin, NJ$55K
Advocare LLCEnglewood, NJ$48K
Advocare, LLCHaddonfield, NJ$39K
Advocare, LLCSewell, NJ$31K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.