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NPI 1790732964 · Santa Monica, CA · Internal Medicine Physician
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Michael Zelman is a internal medicine physician provider located in Santa Monica, California. This profile covers 16 Medicare and 11 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 | Michael Zelman |
| Address | 2222 Santa Monica Blvd |
| City | Santa Monica |
| State | CA |
| ZIP | 90404 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $125.2K |
| Medicaid | $26.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 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… | 620 | $70 | $44.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 200 | $140 | $27.4K |
| 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… | 150 | $100 | $14.8K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 170 | $90 | $14.8K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 190 | $30 | $5.4K |
| 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 | $50 | $3.6K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 90 | $30 | $3K |
| 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… | 60 | $40 | $2.6K |
| 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… | 30 | $100 | $2.5K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 50 | $30 | $1.7K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 16,007 | 37,970 | 120 | $90 | $23.2K |
| 99213 | 2,431 | 34,660 | 80 | $70 | $13.2K |
| G0439 | 888 | 7,800 | 60 | $130 | $11.9K |
| 99497 | 485 | 2,560 | 50 | $70 | $8K |
| 36415 | 4,413 | 4,540 | 80 | $10 | $7.4K |
| 99204 | 12,373 | 19,360 | 40 | $120 | $7.2K |
| G0179 | 156 | 580 | 40 | $30 | $4.5K |
| 99212 | 1,898 | 7,970 | 30 | $40 | $3.4K |
| 94644 | 7 | 10 | 30 | $50 | $3.4K |
| G0180 | 337 | 1,490 | 30 | $40 | $3.4K |
Showing 1–10 of 16
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.
11 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… | 1,600 | $10 | $22.5K |
| G0513 | Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first… | 10 | $130 | $1.7K |
| 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… | 60 | $20 | $840 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 100 | $10 | $500 |
| G0008 | Administration of influenza virus vaccine | 80 | $1 | $170 |
| 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,… | 10 | $10 | $120 |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 50 | $1 | $90 |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 30 | $1 | $50 |
| 90653 | This code represents an inactivated influenza vaccine product that contains subunits of the virus and an adjuvant to enhance the immune response. The vaccine is administered via separately reportable… | 40 | $0 | $0 |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 120 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
11 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… | 11,055 | 13,300 | 640 | $40 | $169.6K |
| 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… | 5,528 | 14,520 | 760 | $10 | $122.8K |
| 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,… | 5,355 | 5,600 | 440 | $10 | $44.4K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 316 | 610 | 130 | $40 | $24.9K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 56 | 120 | 100 | $10 | $5.8K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 281 | 700 | 70 | $10 | $4.6K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 891 | 1,210 | 60 | $10 | $3.1K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 1,182 | 1,860 | 90 | $10 | $2.3K |
| G0008 | Administration of influenza virus vaccine | 676 | 1,810 | 50 | $10 | $2.2K |
| 90653 | This code represents an inactivated influenza vaccine product that contains subunits of the virus and an adjuvant to enhance the immune response. The vaccine is administered via separately reportable… | 117 | 330 | 30 | $20 | $1.3K |
Showing 1–10 of 11
Other providers in the same ZIP code as Michael Zelman, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jamie Kate Adoc | CA | Family Nurse Practitioner | $4.7M | $0 |
| Sean Fischer | CA | Hematology & Oncology Physician | $3.2M | $0 |
| Omid Hamid | CA | Hematology & Oncology Physician | $2.7M | $0 |
| Thomas Hanscom | CA | Ophthalmology Physician | $2.4M | $0 |
| Dalia Artal | CA | Diagnostic Radiology Physician | $2M | $0 |
| Jesse Mills | CA | Urology Physician | $1.9M | $0 |
| Lisa Chaiken | CA | Radiation Oncology Physician | $1.6M | $0 |
| Joshua Friedlander | CA | Diagnostic Radiology Physician | $1.4M | $0 |
| Robert Krasny | CA | Vascular & Interventional Radiology Physician | $1.3M | $0 |
| George Grifka | CA | Cardiovascular Disease Physician | $868.5K | $0 |
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