Medicaid Provider Spending

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

EINSTEIN PRACTICE PLAN INC

NPI: 1992761621 · PHILADELPHIA, PA 19141 · Vascular Surgery Physician · NPI assigned 04/21/2006

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

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

$400K
Total Medicaid Paid
11,297
Total Claims
9,716
Beneficiaries
12
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARGERON, FRANCINE (DIRECTOR EINSTEIN PRACTICE PLAN INC)
NPI Enumeration Date04/21/2006

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 $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 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 $0.00
2020 417 $14K
2021 2,169 $70K
2022 2,924 $96K
2023 2,926 $111K
2024 2,836 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,753 4,516 $184K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,963 2,756 $133K
93970 935 896 $32K
93971 668 647 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 139 134 $10K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 275 232 $9K
93923 390 378 $8K
99244 Office or other outpatient consultation, moderate to high complexity 40 40 $5K
93880 67 67 $2K
99232 Subsequent hospital care, per day, moderate complexity 37 24 $1K
11045 15 12 $986.64
3078F 15 14 $50.00