PROVIDER PROFILE · NPI 1831183383

John EdelenM.D.

PRACTICEBERKELEY CARDIOVASCULAR MEDICAL GROUPSee all providers at this practice →

Interventional CardiologyOrinda, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,960

Unique beneficiaries

—

Total services

3,018

Distinct HCPCS

Medicare payment

$266K

Peer benchmark

Total Medicare services vs. 324 Interventional Cardiology providers in CA — above median (cohort median 2,656).

PRESCRIBING · PART D · 2024

Total Rx claims

4,853

Beneficiaries

—

Total drug cost

$1.2M

Distinct drugs

Brand share

25.2%

Top prescribed drugs

Atorvastatin Calcium640 claims

Metoprolol Succinate545 claims

Apixaban433 claims

Amlodipine Besylate249 claims

Carvedilol233 claims

QUALITY · MIPS · 2024

Final MIPS score

24.2

Quality

0.0

Cost

80.5

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-6.10%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$441

Payment records

By payment type

Food and Beverage$441

REFERRAL NETWORK

Where John Edelen'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). 44 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SUTTER EAST BAY HOSPITALS	295	672
Kathryn Klima Diagnostic Radiology · Oakland, CA	68	242
Clifton Watt Cardiology · Berkeley, CA	65	201
Michael Tsang Cardiology · Oakland, CA	54	117
Sangeeta Gambhir Diagnostic Radiology · Walnut Creek, CA	49	143
RICH, PHILIP	43	107
Linda Gordon Diagnostic Radiology · San Jose, CA	41	78
Samuel Wang Clinical Cardiac Electrophysiology · Honolulu, HI	37	88
Robert Kim Diagnostic Radiology · Walnut Creek, CA	36	81
Eric Dovichi Diagnostic Radiology · Walnut Creek, CA	35	68
Phillip Wong Diagnostic Radiology · Menlo Park, CA	35	57
Kevin Lin Internal Medicine · Berkeley, CA	27	68

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history