Physician
Edelstein & Bustamante M.D.'S, P.A.
Edelstein & Bustamante M.D.'S, P.A. was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 70% of everything it billed.
33Billing provider infoEDELSTEIN & BUSTAMANTE M.D.'S, P.A.
AVENTURA, FL 33180
AVENTURA, FL 33180
33aNPI1184709644assigned 10/25/2006
33bProvider typeInfectious Disease Physician
28Total paid$1.16M
24GClaims58,534
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Infectious Disease Physician providers in Florida
Rank by total paid#9 of 174
Median peer was paid$60K
This provider vs. median19×
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 | 6,656 | $74K | |
| 2019 | 11,884 | $236K | |
| 2020 | 11,032 | $227K | |
| 2021 | 8,570 | $188K | |
| 2022 | 7,739 | $168K | |
| 2023 | 7,764 | $172K | |
| 2024incomplete | 4,889 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 70% | 49,632 | 15,461 | $814K |
| 99222 | Initial hospital care, per day, moderate complexity | 27% | 7,444 | 5,850 | $308K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 449 | 332 | $20K |
| 99254 | <1% | 100 | 96 | $10K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 282 | 147 | $5K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 627 | 434 | $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.
From NPPES
Who's on the registration
Authorized officialALVAREZ, MERCY (OFFICE MANAGER)