Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Edelstein, Ari

Edelstein, Ari was paid $43K by Medicaid between Mar 2018 and Nov 2024, across 6 billing codes. Its largest line is 99305, — 88% of everything it billed.

33Billing provider infoEDELSTEIN, ARI
KEW GARDENS, NY 11415
33aNPI1558371591assigned 08/09/2006
33bProvider typeOphthalmology Physician
28Total paid$43K
24GClaims2,035
24DCodes billed6
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#512 of 1,085
Median peer was paid$34K
This provider vs. median1.3×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201883$2K
2019305$5K
2020397$9K
2021289$6K
2022279$7K
2023398$8K
2024incomplete284$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99305 88% 1,505 1,494 $38K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7.6% 140 139 $3K
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 2.7% 40 40 $1K
92202 1.3% 249 248 $563.89
92225 <1% 77 39 $308.84
92201 <1% 24 24 $48.78

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.