Physician
Edelstein, Adam
Edelstein, Adam was paid $30K by Medicaid between Mar 2022 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoEDELSTEIN, ADAM
CHICAGO, IL 60611
CHICAGO, IL 60611
33aNPI1013279082assigned 06/14/2012
33bProvider typeAdult Reconstructive Orthopaedic Surgery Physician
28Total paid$30K
24GClaims1,001
24DCodes billed7
24AFirst – last monthMar 2022 – Oct 2024
Compared with peers
Next to other Adult Reconstructive Orthopaedic Surgery Physician providers in Illinois
Rank by total paid#9 of 31
Median peer was paid$9K
This provider vs. median3.2×
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.
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 | |
|---|---|---|---|
| 2022 | 333 | $8K | |
| 2023 | 406 | $11K | |
| 2024incomplete | 262 | $11K |
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 | 57% | 362 | 320 | $17K |
| 20610 | 22% | 184 | 142 | $7K | |
| 73562 | 13% | 271 | 201 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 41 | 38 | $1K |
| 73564 | 1.8% | 22 | 17 | $542.13 | |
| 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 | 1.4% | 13 | 12 | $427.15 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.4% | 108 | 94 | $418.22 |
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.