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PROVIDER PROFILE · NPI 1417992751

Simon EdelsteinMD

Infectious DiseaseAventura, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$148
Payment records
6
By payment type
Food and Beverage$148
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
15.0
Cost
88.2
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
315
Beneficiaries
—
Total drug cost
$948K
Distinct drugs
9
Brand share
96.2%
Top prescribed drugs
Emtricitab/Rilpiviri/Tenof Ala62 claims
Bictegrav/Emtricit/Tenofov Ala62 claims
Dolutegravir Sodium/Lamivudine46 claims
Efavirenz/Emtricit/Tenofovr Df38 claims
Dolutegravir/Rilpivirine35 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
714
Unique beneficiaries
—
Total services
1,416
Distinct HCPCS
6
Medicare payment
$106K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 502 Infectious Disease providers in FL — above median (cohort median 1,070).
REFERRAL NETWORK

Where Simon Edelstein's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 135 inbound referrers · 197 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MIAMI BEACH HEALTHCARE GROUP, LTD.268476
Idan Alkalay
Diagnostic Radiology · Miami, FL
139297
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA137199
PAYDAR, AMIR137323
Kailash Amruthur
Diagnostic Radiology · Hollywood, FL
134244
Alain Ortiz
Diagnostic Radiology · Tampa, FL
127247
Peter Swischuk
Diagnostic Radiology · North Miami Beach, FL
115561
Evelio Alvarez-Assef
Diagnostic Radiology · Tampa, FL
98207
Anthony Panariello
Pulmonary Disease · North Miami Beach, FL
79217
Assaf Tzur
Cardiology · North Miami Beach, FL
76153
Khalid Minhas
Interventional Cardiology · Perrysburg, OH
74167
Hamidreza Moghaddam
Internal Medicine · North Miami, FL
73204
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Carlos Bustamante
Infectious Disease · Aventura, FL
166272
Daniel Kaswan
Infectious Disease · Aventura, FL
161294
Andres Rivero
Infectious Disease · Hialeah, FL
157261
FALCK SOUTHEAST II, CORP.131203
MIAMI BEACH HEALTHCARE GROUP, LTD.124219
Simi Anidjar
Diagnostic Radiology · Aventura, FL
104187
Peter Swischuk
Diagnostic Radiology · North Miami Beach, FL
101530
Ladan Lamea
Diagnostic Radiology · Miami, FL
100418
Jose Mata
Diagnostic Radiology · Miami, FL
80293
PAYDAR, AMIR77166
Randle Eastern Ambulance Service Inc
Ambulance Service Provider · Medley, FL
75100
Idan Alkalay
Diagnostic Radiology · Miami, FL
73129
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.