Edelstein, Michael
Edelstein, Michael was paid $195K by Medicaid between Jan 2018 and Oct 2020, across 5 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 56% of everything it billed.
33Billing provider infoEDELSTEIN, MICHAEL
BRONX, NY 10458
BRONX, NY 10458
33aNPI1376546853assigned 05/27/2005
33bProvider typePodiatrist
28Total paid$195K
24GClaims4,365
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Podiatrist providers in New York
Rank by total paid#76 of 605
Median peer was paid$12K
This provider vs. median16×
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 | 1,723 | $75K | |
| 2019 | 1,801 | $84K | |
| 2020 | 841 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 56% | 2,060 | 2,053 | $109K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 874 | 872 | $75K |
| 99334 | 3.5% | 694 | 694 | $7K | |
| 11721 | 2.5% | 699 | 698 | $5K | |
| 11720 | <1% | 38 | 38 | $38.78 |
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.