Medicare Enrolled
Dr. Marc Edelstein, M.D.
Gastroenterology · Beverly Hills, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Edelstein from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Edelstein?
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What this data tells you about Dr. Edelstein
Dr. Marc Edelstein is a gastroenterology specialist in Beverly Hills, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Edelstein performed 2,260 Medicare services across 1,822 unique beneficiaries.
Between the years covered by Open Payments, Dr. Edelstein received a total of $5,572 from 34 pharmaceutical and/or device companies across 246 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Edelstein is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 8% volume in CA
$5,572 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,260
Medicare services
Top 8% in CA for gastroenterology
1,822
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~119 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
651 | $111 | $285 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
176 | $8 | $20 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
153 | $8 | $30 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
152 | $140 | $1,525 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
147 | $8 | $60 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
140 | $70 | $1,075 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
131 | $137 | $525 |
| Screening test for pathogenic organisms A laboratory test used to screen for the presence of disease-causing organisms in the body. |
122 | $6 | $120 |
| Liver function blood test panel | 62 | $8 | $65 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
56 | $4 | $60 |
| High-sensitivity C-reactive protein test A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation. |
55 | $13 | $35 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
51 | $6 | $40 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
50 | $20 | $60 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
37 | $9 | $75 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
37 | $16 | $70 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
37 | $17 | $65 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
31 | $216 | $1,770 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
24 | $13 | $55 |
| Iron level test | 24 | $6 | $45 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
24 | $9 | $35 |
| Hydrogen breath test A test that measures hydrogen levels in your breath to help evaluate stomach and bowel symptoms. |
23 | $80 | $525 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
19 | $157 | $1,445 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
15 | $14 | $50 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
15 | $50 | $125 |
| Abdominal X-ray series with chest X-ray This procedure involves taking a series of X-ray images of the abdomen along with a single X-ray image of the chest. |
14 | $33 | $300 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
14 | $15 | $44 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$5,572
Total received (2018-2024)
Avg $796/year across 7 years
Top 28% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
246
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,572 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,392
2023
$1,051
2022
$523
2021
$546
2020
$225
2019
$795
2018
$1,040
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Daiichi Sankyo Inc.
$501
Takeda Pharmaceuticals U.S.A., Inc.
$258
ABBVIE INC.
$252
Exact Sciences Corporation
$105
Regeneron Healthcare Solutions, Inc.
$100
QOL Medical, LLC
$78
Phathom Pharmaceuticals, Inc.
$34
GENZYME CORPORATION
$27
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
IRONWOOD PHARMACEUTICALS, INC
$18
Top 3 companies account for 72.7% of 2024 payments
All-time payments by company (2018-2024) ›
Daiichi Sankyo Inc.
$1,509
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$599
Takeda Pharmaceuticals U.S.A., Inc.
$579
QOL Medical, LLC
$337
ABBVIE INC.
$315
Allergan Inc.
$235
Ferring Pharmaceuticals Inc.
$222
AbbVie, Inc.
$201
Regeneron Healthcare Solutions, Inc.
$201
Romark Laboratories, LC
$188
Exact Sciences Corporation
$157
GENZYME CORPORATION
$148
Boston Scientific Corporation
$130
Synergy Pharmaceuticals Inc
$112
Janssen Biotech, Inc.
$108
Merck Sharp & Dohme Corporation
$68
Prometheus Laboratories Inc.
$53
Alexion Pharmaceuticals, Inc.
$46
PFIZER INC.
$37
Phathom Pharmaceuticals, Inc.
$34
Nestle HealthCare Nutrition Inc.
$28
UCB, Inc.
$27
Ethicon US, LLC
$26
Shield Therapeutics Inc
$25
Endo Pharmaceuticals Inc.
$25
ALBIREO PHARMA, INC.
$24
CapsoVision, Inc.
$22
Mirum Pharmaceuticals, Inc.
$21
AbbVie Inc.
$20
IRONWOOD PHARMACEUTICALS, INC
$18
Braintree Laboratories, Inc.
$16
Covidien LP
$14
Celgene Corporation
$14
Concordia Pharmaceuticals Inc.
$12
Top 3 companies account for 48.2% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · APRISO · Alinia · Alinia Tablets 500mg 30 count bottle · Bylvay · CLENPIQ · CREON · CapsoCam Plus · Cimzia · Cologuard Collection Kit · Creon · DIFICID · DUPIXENT · Donnatal · ENTYVIO · Entyvio · GATTEX · GENERAL BPH · HUMIRA · Humira · INFLECTRA · INJECTAFER · Kanuma · LINX Reflux Management System · LINZESS · Linzess · Livmarli · Mavyret · Motegrity · NASCOBAL · REBYOTA · SKYRIZI · STELARA · SUCRAID · SUPREP · Smart Pill · Sucraid · TRULANCE · Trulance · UCERIS TABLETS · VIBERZI · VOQUEZNA · VRAYLAR · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Gastroenterologists within 10 mi
475
Per 100K population
4.8
County median income
$87,760
Nearest hospital
CEDARS-SINAI MEDICAL CENTER
0.8 mi
0.8 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Edelstein is a clinical cardiology specialist, with above-average Medicare volume (top 8% in CA), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Edelstein experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Edelstein performed 651 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Edelstein receive payments from pharmaceutical companies?
Yes. Dr. Edelstein received a total of $5,572 from 34 companies across 246 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Edelstein's costs compare to other gastroenterologists in Beverly Hills?
Dr. Edelstein's average Medicare payment per service is $64. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Edelstein) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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