Physician

Michael A Gelfand, MD

According to 2025 Medicare claims, Michael Gelfand, MD (NPI: 1861706525) practices epileptologists in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Philadelphia, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PENN-MEDICAL GROUP (NPI: 1164810271; TIN: 232743545) and primary practice location at 19104-4208.

Gelfand's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 249 traditional Medicare patients, billed 429 HCPCS/CPT codes, and received $36,834 in Medicare payments. The top billing code was 95720 (Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional). Part D data shows 1,669 prescription claims across 197 beneficiaries totaling $1,377,669 in drug costs, led by Fintepla (Fenfluramine Hcl). Open Payments data shows 15 records totaling $101,947. 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 from a higher plateau to a lower plateau, from $27,275 to $36,834. In contrast, Part D prescription costs have risen steadily, from $166,313 to $1,377,669. 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$50K$100K2015 Medicare payment: $27,275 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $99,620 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $78,949 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $79,625 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $78,924 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $40,328 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $40,330 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $46,647 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $39,200 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $36,834 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015128207$27,275
2016390733$99,620
2017310592$78,949
2018378651$79,625
2019308586$78,924
2020234384$40,328
2021215394$40,330
2022256448$46,647
2023238371$39,200
2024249429$36,834

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$828K$1.7M2015 Drug cost: $166,313 (USD; Tot_Drug_Cst)2016 Drug cost: $517,639 (USD; Tot_Drug_Cst)2017 Drug cost: $761,425 (USD; Tot_Drug_Cst)2018 Drug cost: $921,888 (USD; Tot_Drug_Cst)2019 Drug cost: $1,063,742 (USD; Tot_Drug_Cst)2020 Drug cost: $1,311,152 (USD; Tot_Drug_Cst)2021 Drug cost: $1,595,825 (USD; Tot_Drug_Cst)2022 Drug cost: $1,656,915 (USD; Tot_Drug_Cst)2023 Drug cost: $1,363,846 (USD; Tot_Drug_Cst)2024 Drug cost: $1,377,669 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201575394$166,313
20161551,657$517,639
20171741,991$761,425
20182022,178$921,888
20192182,305$1,063,742
20202052,493$1,311,152
20212142,265$1,595,825
20222322,086$1,656,915
20232111,689$1,363,846
20241971,669$1,377,669

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional71108$165
95718Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional3537$104
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3739$59
95816Measurement of brain wave activity (eeg), awake and drowsy6161$43
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's5964$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FinteplaFenfluramine Hcl13390$235,511
EpidiolexCannabidiol (Cbd)281,003$228,298
XcopriCenobamate974,284$199,262
Lamotrigine ErLamotrigine1788,740$74,298
NayzilamMidazolam53904$69,494

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.9$13,971UCB, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.6$87,976UCB SA
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Michael A. Gelfand, MD?

Tedicare shows public-source Medicare data for Michael A. Gelfand, MD (NPI 1861706525), 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 Michael A. Gelfand, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael A. Gelfand, MD?

Michael A. Gelfand, MD is linked to UNIVERSITY OF PENN-MEDICAL GROUP (billing NPI 1164810271) in the available physician profile data.

Does Michael A. Gelfand, MD have Open Payments data?

Michael A. Gelfand, MD has 15 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.