Physician

Adam Isaac Edelstein, MD

According to 2025 Medicare claims, Adam Edelstein, MD (NPI: 1013279082) practices orthopedic surgery in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is NORTHWESTERN MEDICAL FACULTY FOUNDATION (NPI: 1346235314; TIN: 363097297) and primary practice location at 60611-2027. Edelstein is affiliated with the Northwestern Medicine Physician Network ACO (ACO ID: A2620) and Froedtert & The Medical College of Wisconsin ACO, LLC (ACO ID: A4825), participating under the MSSP model.

Edelstein's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 540 traditional Medicare patients, billed 3,341 HCPCS/CPT codes, and received $257,213 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 215 prescription claims across 148 beneficiaries totaling $1,730 in drug costs, led by Diclofenac Sodium (Diclofenac Sodium). 2023 DME data shows 12 claims. Open Payments data shows 13 records totaling $9,803. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $6,093 to $257,213. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,038 and ending at $1,730. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$129K$257K2017 Medicare payment: $6,093 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $47,885 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $94,705 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $118,630 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $126,590 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $198,467 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $198,783 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $257,213 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20172121$6,093
2018146253$47,885
2019241677$94,705
2020250675$118,630
2021296702$126,590
20224732,426$198,467
20234492,645$198,783
20245403,341$257,213

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$8.4K$17K2015 Drug cost: $1,038 (USD; Tot_Drug_Cst)2016 Drug cost: $261 (USD; Tot_Drug_Cst)2017 Drug cost: $810 (USD; Tot_Drug_Cst)2018 Drug cost: $2,630 (USD; Tot_Drug_Cst)2019 Drug cost: $16,880 (USD; Tot_Drug_Cst)2020 Drug cost: $2,684 (USD; Tot_Drug_Cst)2021 Drug cost: $3,359 (USD; Tot_Drug_Cst)2022 Drug cost: $1,551 (USD; Tot_Drug_Cst)2023 Drug cost: $2,177 (USD; Tot_Drug_Cst)2024 Drug cost: $1,730 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152140$1,038
20161119$261
20172952$810
20187296$2,630
201986206$16,880
2020102188$2,684
2021114213$3,359
2022105138$1,551
2023116178$2,177
2024148215$1,730

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$682$1.4K2023 Medicare payment: $1,363 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R12$1,363
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more192192$130
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more305404$102
20610Aspiration and/or injection of fluid from large joint158240$61
73564X-ray of knee, 4 or more views184271$38
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1611,212$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Diclofenac SodiumDiclofenac Sodium22544$611
MupirocinMupirocin921,130$599
MeloxicamMeloxicam23884$68
AmoxicillinAmoxicillin2891$54

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.13$9,803Medical Device Business Services, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Adam Isaac Edelstein, MD?

Tedicare shows public-source Medicare data for Adam Isaac Edelstein, MD (NPI 1013279082), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Adam Isaac Edelstein, MD have ACO affiliation data?

Adam Isaac Edelstein, MD is shown with ACO affiliation data for Northwestern Medicine Physician Network ACO (MSSP, ACO ID A2620) and Froedtert & The Medical College of Wisconsin ACO, LLC (MSSP, ACO ID A4825).

What billing organization is linked to Adam Isaac Edelstein, MD?

Adam Isaac Edelstein, MD is linked to NORTHWESTERN MEDICAL FACULTY FOUNDATION (billing NPI 1346235314) in the available physician profile data.

Does Adam Isaac Edelstein, MD have Open Payments data?

Adam Isaac Edelstein, MD has 13 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.