Dr. Adam Edelman, MD
12634 Olive Blvd, Saint Louis, MO 63141 • +1-642-555-3298
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Louis Percentiles
NPI #1649384090 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across MO Internal Medicine providers positions Dr. Adam Edelman, MD in Saint Louis at +0.07σ (90.91th city percentile / 90.13th state percentile, 358 Medicare beneficiaries), with clinical focus spanning 6 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Adam Edelman (63141) place 99214 at the top of the practice ledger (1796 yearly units, 90.91th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Edelman (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 10-minute average reception wait, and a 4.76/5 modern protocol openness score across 20 patient logs.
Clinical background for Dr. Edelman (MD, NPI #1649384090) includes accredited doctoral training (1994, 32 yrs in practice) and virtual + in-office availability across MO.
Top 10% Internal Medicine volume leader in Saint Louis, MO
3,990 annual services across 358 beneficiaries
Standard deviations from MO Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,796 | 90.91th | $117 – $160 |
| 99213 | Established Preventive & Chronic Care Visit | 1,037 | 94.91th | $90 – $123 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 519 | 87.91th | $43 – $59 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 399 | 92.91th | $137 – $188 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 239 | 94.91th | $163 – $223 |
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Dr. Adam Edelman, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Edelman National Provider Identifier | NPI #1649384090 (MD) | CMS NPPES Registry (63141) |
| Dr. Edelman Saint Louis CMS Volume Rank | 90.91th Pct (3,990 CMS svcs; Z +0.070σ) | CMS Medicare Part B (MO Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Louis, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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