Physician
Gelfand, Inessa
Gelfand, Inessa was paid $335K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoGELFAND, INESSA
CHICAGO, IL 60645
CHICAGO, IL 60645
33aNPI1528080637assigned 07/25/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$335K
24GClaims25,697
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Illinois
Rank by total paid#5 of 193
Median peer was paid$18K
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 | 3,057 | $37K | |
| 2019 | 3,602 | $46K | |
| 2020 | 3,498 | $48K | |
| 2021 | 3,069 | $46K | |
| 2022 | 3,271 | $63K | |
| 2023 | 5,784 | $58K | |
| 2024incomplete | 3,416 | $37K |
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 | 65% | 11,423 | 10,505 | $219K |
| J1740 | Injection, ibandronate sodium, 1 mg | 7.9% | 720 | 706 | $26K |
| 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 | 7.5% | 614 | 579 | $25K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.8% | 978 | 877 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 1,695 | 1,621 | $15K |
| 76536 | 3.5% | 805 | 802 | $12K | |
| 84439 | 2.8% | 1,056 | 964 | $9K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 532 | 479 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 259 | 225 | $3K |
| 95251 | <1% | 350 | 341 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 213 | 196 | $1K |
| 80061 | Lipid panel | <1% | 93 | 83 | $746.79 |
19 more codes
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 709 | $679.65 |
| 99443 | <1% | 47 | $635.32 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 154 | $444.96 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 117 | $438.75 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 68 | $349.65 |
| 36415 | Collection of venous blood by venipuncture | <1% | 217 | $175.83 |
| 99442 | <1% | 18 | $20.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 546 | $5.41 |
| 3079F | 0% | 84 | $0.00 | |
| 1126F | 0% | 367 | $0.00 | |
| 3074F | 0% | 414 | $0.00 | |
| 3008F | 0% | 563 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 1036F | 0% | 508 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,275 | $0.00 |
| 1159F | 0% | 476 | $0.00 | |
| 3078F | 0% | 375 | $0.00 | |
| 1160F | 0% | 479 | $0.00 | |
| 3725F | 0% | 529 | $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.