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PROVIDER PROFILE · NPI 1669483483

Mark EdelmanM.D.

PRACTICEJONATHAN J. DORA, M.D.,P.A.See all providers at this practice →
Plastic and Reconstructive SurgeryHouston, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
12
Beneficiaries
—
Total drug cost
$83
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Mupirocin12 claims
REFERRAL NETWORK

Where Mark Edelman'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). 4 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 104326182919696
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
16125
Stephen Parven
Diagnostic Radiology · Houston, TX
1226
Anita Alvarez-Cruz
Family Practice · Katy, TX
12186
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
40
Unique beneficiaries
—
Total services
65
Distinct HCPCS
3
Medicare payment
$4K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 299 Plastic and Reconstructive Surgery providers in TX — below median (cohort median 131).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$204
Payment records
7
By payment type
Food and Beverage$204