What is Simon Edelstein's specialty?

Simon Edelstein (NPI 1417992751) is a Medicare-billing provider whose primary specialty is Infectious Disease in Aventura, FL.

Where does Simon Edelstein practice?

Simon Edelstein practices in Aventura, FL, based on the location reported in the CMS Medicare provider datasets for NPI 1417992751.

How much does Medicare pay Simon Edelstein?

Simon Edelstein (NPI 1417992751) received approximately $107K in total Medicare Part B payments, serving 411 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1417992751

Simon EdelsteinMD

Infectious DiseaseAventura, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

714

Unique beneficiaries

—

Total services

1,416

Distinct HCPCS

Medicare payment

$106K

Peer benchmark

Total Medicare services vs. 502 Infectious Disease providers in FL — above median (cohort median 1,070).

PRESCRIBING · PART D · 2024

Total Rx claims

315

Beneficiaries

—

Total drug cost

$948K

Distinct drugs

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

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

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$148

Payment records

By payment type

Food and Beverage$148

Top paying entities

Food and Beverage$148

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

Physician	Patients	Visits
MIAMI BEACH HEALTHCARE GROUP, LTD.	268	476
Idan Alkalay Diagnostic Radiology · Miami, FL	139	297
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA	137	199
PAYDAR, AMIR	137	323
Kailash Amruthur Diagnostic Radiology · Hollywood, FL	134	244
Alain Ortiz Diagnostic Radiology · Tampa, FL	127	247
Peter Swischuk Diagnostic Radiology · North Miami Beach, FL	115	561
Evelio Alvarez-Assef Diagnostic Radiology · Tampa, FL	98	207
Anthony Panariello Pulmonary Disease · North Miami Beach, FL	79	217
Assaf Tzur Cardiology · North Miami Beach, FL	76	153
Khalid Minhas Interventional Cardiology · Perrysburg, OH	74	167
Hamidreza Moghaddam Internal Medicine · North Miami, FL	73	204

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Carlos Bustamante Infectious Disease · Aventura, FL	166	272
Daniel Kaswan Infectious Disease · Aventura, FL	161	294
Andres Rivero Infectious Disease · Hialeah, FL	157	261
FALCK SOUTHEAST II, CORP.	131	203
MIAMI BEACH HEALTHCARE GROUP, LTD.	124	219
Simi Anidjar Diagnostic Radiology · Aventura, FL	104	187
Peter Swischuk Diagnostic Radiology · North Miami Beach, FL	101	530
Ladan Lamea Diagnostic Radiology · Miami, FL	100	418
Jose Mata Diagnostic Radiology · Miami, FL	80	293
PAYDAR, AMIR	77	166
Randle Eastern Ambulance Service Inc Ambulance Service Provider · Medley, FL	75	100
Idan Alkalay Diagnostic Radiology · Miami, FL	73	129

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history