Physician
Edelstein, Vadim
Edelstein, Vadim was paid $186K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoEDELSTEIN, VADIM
SKOKIE, IL 60076
SKOKIE, IL 60076
33aNPI1760431076assigned 05/06/2006
33bProvider typeInternal Medicine Physician
28Total paid$186K
24GClaims18,166
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Illinois
Rank by total paid#400 of 3,722
Median peer was paid$26K
This provider vs. median7.2×
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 | 2,607 | $24K | |
| 2019 | 2,835 | $30K | |
| 2020 | 3,395 | $30K | |
| 2021 | 2,214 | $22K | |
| 2022 | 2,509 | $26K | |
| 2023 | 2,142 | $24K | |
| 2024incomplete | 2,464 | $29K |
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 | 53% | 3,538 | 3,347 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 9,530 | 8,301 | $56K |
| 99490 | Ccm add 20min | 8.6% | 1,827 | 1,827 | $16K |
| 93000 | 5.7% | 1,289 | 1,248 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 430 | 250 | $1K |
| 90658 | <1% | 32 | 16 | $597.04 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 209 | 143 | $389.73 |
| 99442 | <1% | 332 | 206 | $384.00 | |
| 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% | 100 | 94 | $354.52 |
| 77085 | <1% | 52 | 51 | $220.78 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 75 | 74 | $198.20 |
| 36415 | Collection of venous blood by venipuncture | <1% | 358 | 335 | $151.24 |
6 more codes
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.