Gelfand, Mark

Gelfand, Mark was paid $166K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoGELFAND, MARK
BROOKLYN, NY 11235

33aNPI1801849658assigned 05/19/2006

33bProvider typeInternal Medicine Physician

28Total paid$166K

24GClaims26,704

24DCodes billed33

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#968 of 6,049

Median peer was paid$11K

This provider vs. median15×

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	3,451	$21K
2019	3,955	$20K
2020	2,853	$18K
2021	4,156	$22K
2022	3,665	$24K
2023	3,969	$26K
2024incomplete	4,655	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	69%	8,434	7,009	$114K
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	15%	1,211	1,165	$25K
93000		7.2%	3,209	3,141	$12K
92588		3.4%	427	420	$6K
76700	Ultrasound, abdominal, real time with image documentation; complete	2.4%	257	250	$4K
76536		<1%	68	68	$1K
93880		<1%	149	148	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	398	349	$737.08
36415	Collection of venous blood by venipuncture	<1%	6,262	5,837	$591.22
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	111	106	$298.25
93925		<1%	12	12	$170.72
90688		<1%	208	207	$169.68

21 more codes

G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	769	$168.32
G0444	Annual depression screening, 5 to 15 minutes	<1%	743	$126.24
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	874	$121.62
77081		<1%	108	$118.98
81003		<1%	1,396	$85.30
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	338	$80.27
99497		<1%	994	$77.13
86141		<1%	58	$75.50
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	120	$59.25
83036	Hemoglobin; glycosylated (A1C)	<1%	12	$56.60
82977		<1%	13	$42.00
90686		<1%	19	$19.34
G0008	Administration of influenza virus vaccine	0%	193	$0.00
80053	Comprehensive metabolic panel	0%	126	$0.00
82728		0%	12	$0.00
82044		0%	24	$0.00
94760		0%	12	$0.00
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)	0%	25	$0.00
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	0%	39	$0.00
80061	Lipid panel	0%	71	$0.00
82570		0%	12	$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.