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NPI 1528080637 · Buffalo Grove, IL · Endocrinology, Diabetes & Metabolism Physician
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Inessa Gelfand is a endocrinology, diabetes & metabolism physician provider located in Buffalo Grove, Illinois. This profile covers 20 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Inessa Gelfand |
| Address | 150 W Half Day Rd Ste 202 |
| City | Buffalo Grove |
| State | IL |
| ZIP | 60089 |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| NPI Enumerated | July 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $335.3K |
| Medicare | $276K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,570 | $110 | $164.4K |
| J0897 | Injection, denosumab, 1 mg | 3,510 | $10 | $38.7K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 170 | $90 | $15.5K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 100 | $140 | $13.3K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 480 | $20 | $7.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 770 | $10 | $6.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 90 | $70 | $6.1K |
| 95251 | A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service… | 160 | $30 | $4.8K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 480 | $10 | $4.3K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 250 | $10 | $3.2K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0897 | 156 | 410 | 2,520 | $20 | $90.8K |
| 99214 | 69 | 18,540 | 110 | $80 | $17.1K |
| 84443 | 39 | 530 | 80 | $20 | $11K |
| 80061 | 135 | 570 | 100 | $10 | $10.1K |
| 80053 | 476 | 810 | 90 | $10 | $9.4K |
| 99213 | 7,924 | 17,390 | 70 | $60 | $8.8K |
| 85025 | 188 | 850 | 90 | $10 | $6.6K |
| 99204 | 975 | 8,580 | 30 | $110 | $5.6K |
| 85027 | 104 | 190 | 60 | $10 | $3.4K |
| 84439 | 22 | 310 | 40 | $10 | $3.3K |
Showing 1–10 of 20
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 11,420 | $20 | $217K |
| J1740 | Injection, ibandronate sodium, 1 mg | 720 | $40 | $26.6K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 610 | $40 | $25.2K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 980 | $20 | $15.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,700 | $10 | $15.3K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 810 | $20 | $12.1K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 1,060 | $10 | $9.5K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 530 | $10 | $3.2K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 260 | $10 | $2.6K |
| 95251 | A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service… | 350 | $10 | $2.5K |
Showing 1–10 of 31
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
31 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 96374 | The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition. | 3 | 20 | 50 | $70 | $167.3K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 461 | 740 | 960 | $10 | $75.9K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 249 | 530 | 840 | $10 | $73.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 131 | 14,680 | 300 | $50 | $48.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 437 | 830 | 700 | $1 | $47.5K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 398 | 540 | 710 | $10 | $40.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,447 | 14,190 | 280 | $20 | $38.9K |
| J1740 | Injection, ibandronate sodium, 1 mg | 1 | 10 | 720 | $40 | $26.4K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 466 | 820 | 340 | $1 | $17.9K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 249 | 2,800 | 60 | $80 | $17.7K |
Showing 1–10 of 31
Other providers in the same ZIP code as Inessa Gelfand, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| D & M Medical Supply Inc. | IL | Durable Medical Equipment & Medical Supplies | $0 | $7.5M |
| Yousef Tadros | IL | Anatomic Pathology & Clinical Pathology Physician | $4.4M | $0 |
| Village Of Buffalo Grove | IL | Land Ambulance | $480.7K | $3.8M |
| Jim Lu | IL | Anatomic Pathology Physician | $2.7M | $584.1K |
| Scott Glazer | IL | Procedural Dermatology Physician | $1.3M | $4.6K |
| Shiwen Song | IL | Anatomic Pathology & Clinical Pathology Physician | $710.6K | $500.4K |
| Robert Goldman | IL | Rheumatology Physician | $723.8K | $54.4K |
| Maria Yango Eugenio | IL | Allergy & Immunology Physician | $88.5K | $475.9K |
| Joseph Kiernan | IL | Ophthalmology Physician | $477.5K | $46.6K |
| Tamara Gurevich | IL | Physical Medicine & Rehabilitation Physician | $441.5K | $67.4K |
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