Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Todd Edelson (NPI 1568572170)

Field	Value
Entity Type	Individual
Organization	Todd Edelson
Address	47 South Park Street
City	Montclair
State	NJ
ZIP	07042
Taxonomy	Physical Therapist
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$209.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	4,570	$20	$105K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,720	$30	$53.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,300	$20	$24.7K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	200	$70	$14.3K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	270	$50	$13.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Todd Edelson — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,314	4,430	780	$20	$20.9K
97530	245	3,560	470	$30	$19.1K
97112	4	3,520	390	$20	$13.5K
97164	3	660	40	$60	$3.1K
97162	4	1,970	30	$80	$2.7K

Nearby Providers

Other providers in the same ZIP code as Todd Edelson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montclair Hospital LLC	NJ	General Acute Care Hospital	$0	$48.6M
Freehold Montclair Healthcare, LLC	NJ	Adult Day Care Clinic/Center	$0	$31.2M
Mental Health Association Of Essex And Morris, Inc.	NJ	Mental Health Counselor	$0	$13.7M
Fadi El Atat	NJ	Cardiovascular Disease Physician	$288K	$1.1M
Montclair Ambulance Unit	NJ	Land Ambulance	$320.2K	$321.3K
Naveen Allam	NJ	Internal Medicine Physician	$558.1K	$0
Rowen Diano	NJ	Geriatric Medicine (Internal Medicine) Physician	$449.3K	$0
Joo Young Lee	NJ	Diagnostic Radiology Physician	$335.6K	$0
Nabila Hai	NJ	Diagnostic Radiology Physician	$278.8K	$0
Nirman Tulsyan	NJ	Vascular Surgery Physician	$268.8K	$0

Todd Edelson — Billing Profile & Reimbursement Data

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Todd Edelson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References