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NPI 1760431076 · Skokie, IL · Internal Medicine Physician
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Vadim Edelstein is a internal medicine physician provider located in Skokie, Illinois. This profile covers 32 Medicare and 18 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 | Vadim Edelstein |
| Address | 4555 Oakton St |
| City | Skokie |
| State | IL |
| ZIP | 60076 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $376.3K |
| Medicaid | $186.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,940 | $80 | $147.7K |
| 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… | 500 | $110 | $52.1K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 920 | $50 | $48.7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 200 | $140 | $27.4K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 40 | $280 | $11K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,330 | $10 | $10.6K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 40 | $230 | $9.8K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 130 | $70 | $9.2K |
| 99442 | N/A | 110 | $80 | $8K |
| 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… | 110 | $40 | $4.6K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 989 | 1,290 | 200 | $50 | $26.1K |
| G0181 | 140 | 170 | 70 | $80 | $20.1K |
| 99214 | 1,859 | 18,540 | 110 | $80 | $17.1K |
| G0439 | 602 | 4,030 | 70 | $130 | $13.6K |
| 99490 | 39 | 660 | 150 | $50 | $13.2K |
| 99454 | 95 | 150 | 130 | $40 | $10.8K |
| 99213 | 22 | 17,390 | 70 | $60 | $8.8K |
| 90677 | 448 | 2,540 | 20 | $270 | $8K |
| 99307 | 310 | 400 | 80 | $30 | $6.8K |
| 99205 | 1,707 | 2,730 | 30 | $160 | $5.7K |
Showing 1–10 of 32
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.
18 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… | 3,540 | $30 | $99.1K |
| 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… | 9,530 | $10 | $57.2K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 1,830 | $10 | $16.4K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,290 | $10 | $10.3K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 430 | $1 | $1.3K |
| 90658 | This code represents a trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 30 | $20 | $610 |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 210 | $1 | $420 |
| 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… | 100 | $1 | $400 |
| 99442 | N/A | 330 | $1 | $330 |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 80 | $1 | $230 |
Showing 1–10 of 18
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
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 780 | 14,680 | 300 | $50 | $48.7K |
| 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… | 389 | 14,190 | 280 | $20 | $38.9K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 13 | 190 | 160 | $60 | $37.3K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 946 | 1,590 | 360 | $10 | $23K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 312 | 1,290 | 110 | $10 | $8.1K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,794 | 3,330 | 90 | $10 | $7.4K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 388 | 540 | 140 | $10 | $7K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 48 | 580 | 120 | $10 | $5.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 427 | 1,510 | 110 | $1 | $3.5K |
| 90658 | This code represents a trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 74 | 110 | 60 | $1 | $1.8K |
Showing 1–10 of 18
Other providers in the same ZIP code as Vadim Edelstein, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Lifeline Ambulance LLC | IL | Ambulance | $1.3M | $26.3M |
| Medtech Lab LLC | IL | Clinical Medical Laboratory | $10.3M | $1.3K |
| Daniel Gutstein | IL | Family Medicine Physician | $9.3M | $640 |
| Vladimir Urbin | IL | General Practice Physician | $4.2M | $1.1M |
| Care Clinical Lab Inc | IL | Clinical Medical Laboratory | $1.5M | $3M |
| Nobel Medical Inc | IL | Durable Medical Equipment & Medical Supplies | $0 | $4M |
| Clear Sounds Inc Hearing Aids Services | IL | Audiologist | $0 | $3.7M |
| Dav-kim Portable X Ray Service Co | IL | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $1.6M | $2.1M |
| Erin Arnold | IL | Rheumatology Physician | $3.2M | $0 |
| Clear Sounds Inc | IL | Durable Medical Equipment & Medical Supplies | $0 | $3M |
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