GERALD EDELMAN, M.D.
Hematology & Oncology Physician · KILLEEN, TX
Individual Active NPI 1831131739
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 131 | 742 | $114,175 | $49,432 | $39,300 |
| 2023 | 24 | 5,716 | $103,355 | $30,117 | $23,915 |
| 2022 | 199 | 44,571 | $2,590,546 | $807,148 | $643,600 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 319 | $16 | $13 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 224 | $92 | $73 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 87 | $137 | $110 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 54 | $63 | $50 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 28 | $173 | $137 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | $127 | $101 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ✓ | J3787 | TX |
| Medical Oncology Physician | 207RX0202X | J3787 | TX |
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.