HOWARD EDELSTEIN, MD
Infectious Disease Physician · OAKLAND, CA
Individual Active NPI 1497765069
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 133 | 1,778 | $241,231 | $103,560 | $80,676 |
| 2023 | 127 | 723 | $198,559 | $88,372 | $68,456 |
| 2022 | 127 | 577 | $160,375 | $72,031 | $55,601 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 245 | $152 | $108 |
| 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 | 118 | $19 | $15 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 114 | $110 | $73 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 49 | $157 | $157 |
| 90480 | Admn sarscov2 vacc 1 dose | 34 | $52 | $52 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 34 | $149 | $149 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 25 | $215 | $150 |
| 96125 | Test to assess the ability to complete specific functional tasks applicable to environment | 25 | $123 | $94 |
| G0180 | Physician or allowed practitioner 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 | 15 | $66 | $46 |
| G0008 | Administration of influenza virus vaccine | 14 | $39 | $39 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 13 | $253 | $202 |
| 90653 | Influenza vaccine, inactivated | 13 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ✓ | G050259 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.