Edelstein MD, Arthur
Edelstein MD, Arthur was paid $228K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoEDELSTEIN MD, ARTHUR
LYNWOOD, CA 90262
LYNWOOD, CA 90262
33aNPI1043256175assigned 06/20/2006
33bProvider typeVision Therapy Optometrist
28Total paid$228K
24GClaims11,114
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Vision Therapy Optometrist providers in California
Rank by total paid#2 of 6
Median peer was paid$1K
This provider vs. median226×
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 | |
|---|---|---|---|
| 2018 | 1,552 | $7K | |
| 2019 | 2,236 | $8K | |
| 2020 | 1,450 | $9K | |
| 2021 | 1,893 | $33K | |
| 2022 | 1,509 | $64K | |
| 2023 | 1,929 | $91K | |
| 2024incomplete | 545 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 6,966 | 6,638 | $118K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 1,961 | 1,952 | $44K |
| 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 | 11% | 313 | 311 | $25K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 10.0% | 482 | 471 | $23K |
| 92133 | 5.4% | 769 | 766 | $12K | |
| 92083 | 1.7% | 394 | 393 | $4K | |
| 92134 | <1% | 189 | 186 | $2K | |
| 2022F | 0% | 12 | 12 | $0.00 | |
| 67028 | Intravitreal injection of a pharmacologic agent | 0% | 14 | 13 | $0.00 |
| J9035 | Injection, bevacizumab, 10 mg | 0% | 14 | 13 | $0.00 |
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.