Ilya Gelman, M.D., a Professional Corporation

Ilya Gelman, M.D., a Professional Corporation was paid $65K by Medicaid between Jan 2018 and Jul 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoILYA GELMAN, M.D., A PROFESSIONAL CORPORATION
LOS ANGELES, CA 90048

33aNPI1588832182assigned 02/15/2008

33bProvider typeNephrology Physician

28Total paid$65K

24GClaims7,177

24DCodes billed19

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#196 of 363

Median peer was paid$80K

This provider vs. median0.8×

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	2,419	$11K
2019	1,328	$16K
2020	657	$12K
2021	446	$7K
2022	549	$14K
2023	1,205	$4K
2024incomplete	573	$919.62

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	67%	3,611	3,567	$44K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	13%	362	359	$9K
99443		9.1%	126	123	$6K
36415	Collection of venous blood by venipuncture	2.8%	903	890	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.2%	92	39	$787.51
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.2%	142	54	$777.86
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	1.1%	854	835	$736.06
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	1.1%	27	27	$733.75
99222	Initial hospital care, per day, moderate complexity	<1%	12	12	$632.05
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	35	34	$424.05
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	27	27	$418.10
99491	Ccm add 20min	<1%	578	578	$351.21

7 more codes

90756		<1%	56	$30.35
G0008	Administration of influenza virus vaccine	<1%	89	$30.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	135	$29.70
G8404	Lower extremity neurological exam performed and documented	0%	30	$0.00
G8482	Influenza immunization administered or previously received	0%	13	$0.00
90887		0%	55	$0.00
90674		0%	30	$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.

From NPPES

Who's on the registration

Authorized officialGELMAN, ILYA (PRESIDENT)