Edelstein, Sylvia

Edelstein, Sylvia was paid $494K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 96% of everything it billed.

33Billing provider infoEDELSTEIN, SYLVIA
CABIN JOHN, MD 20818

33aNPI1225136989assigned 09/20/2006

33bProvider typeNeurology with Special Qualifications in Child Neurology Physician

28Total paid$494K

24GClaims4,080

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Maryland

Rank by total paid#2 of 5

Median peer was paid$8K

This provider vs. median61×

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	254	$28K
2019	261	$26K
2020	846	$106K
2021	765	$92K
2022	839	$111K
2023	746	$87K
2024incomplete	369	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	96%	3,912	3,677	$472K
99245		3.0%	76	76	$15K
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	1.4%	92	91	$7K

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.