GARY EDELSON, MD
Endocrinology, Diabetes & Metabolism Physician · FARMINGTON HILLS, MI
Individual Active NPI 1952392599
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,121 | 2,878 | $352,845 | $245,868 | $176,667 |
| 2023 | 1,059 | 2,157 | $314,015 | $229,086 | $159,689 |
| 2022 | 1,006 | 2,020 | $292,540 | $212,076 | $150,836 |
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 | 1,219 | $128 | $91 |
| 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 | 682 | $16 | $12 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 238 | $3 | $3 |
| 83036 | Hemoglobin a1c level | 214 | $10 | $10 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 176 | $181 | $133 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 96 | $35 | $25 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 90 | $221 | $149 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 75 | $164 | $121 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 51 | $135 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | 4301054587 | MI |
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.