Physician
Edelson, Jonathan
Edelson, Jonathan was paid $8K by Medicaid between Sep 2022 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoEDELSON, JONATHAN
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
33aNPI1548225097assigned 04/19/2006
33bProvider typePulmonary Disease Physician
28Total paid$8K
24GClaims538
24DCodes billed5
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New York
Rank by total paid#208 of 413
Median peer was paid$8K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 28 | $385.14 | |
| 2023 | 181 | $2K | |
| 2024incomplete | 329 | $5K |
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 | 59% | 153 | 153 | $5K |
| 94729 | 21% | 96 | 96 | $2K | |
| 94060 | 11% | 98 | 98 | $882.41 | |
| 94726 | 8.3% | 70 | 70 | $642.38 | |
| 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) | 0% | 121 | 121 | $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.