Dr. Sean Edelstein, MD
1225 S Grand Blvd, Saint Louis, MO 63104 • +1-247-555-3921
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Louis Percentiles
NPI #1679520605 • CBSA Regional • Ophthalmology
Operating out of Saint Louis, MO (1225 S Grand Blvd), Ophthalmology clinician Dr. Sean Edelstein, MD (accredited MD/DO training, 1997) maintains a focused low-volume boutique caseload (15.25th Saint Louis percentile) (7.96th MO percentile; Z-score -0.15σ across 1,013 documented services) with sub-specialty concentration in 45 Active CMS HCPCS Codes.
Procedural volume for Dr. Edelstein is led by HCPCS 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam — 375 annual services, $254–$348 GPCI cash estimate), followed by CPT 92134 (Scanning Computerized Ophthalmic Retinal OCT Imaging, 263/yr) and CPT 92083 (Extended Threshold Visual Field Glaucoma Perimetry, 172/yr).
Cash-pay intake data for NPI 1679520605 (1225 S Grand Blvd, Saint Louis) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.83/5 biomarker openness.
NPI registry verification (#1679520605) confirms Dr. Sean Edelstein's MD standing serving CBSA 63104 with a 4.76/5 patient scorecard.
Compared against Saint Louis, MO Ophthalmology peers
1,013 annual services across 418 beneficiaries
Standard deviations from MO Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 375 | 15.25th | $254 – $348 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 263 | 20.25th | $140 – $192 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 172 | 12th | $168 – $230 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 122 | 14.25th | $305 – $418 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 81 | 19.25th | $1118 – $1532 |
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Dr. Sean Edelstein, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Edelstein National Provider Identifier | NPI #1679520605 (MD) | CMS NPPES Registry (63104) |
| Dr. Edelstein Saint Louis CMS Volume Rank | 15.25th Pct (1,013 CMS svcs; Z -0.155σ) | CMS Medicare Part B (MO Ophthalmology) |
| 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 • 13 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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