Ari V Edelheit, MD
Emergency Medicine · Chicago
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 3
Offices
3 locations · Cook County · Iems Physician Services PLLC · Rockford Health Physicians
Looking this up.
Hospitals listed: Insight Hospital and Medical Center Chicago · John H Stroger Jr Hospital. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Edelheit’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence A155962 · Delinquent
Licence status: Delinquent · since 2018 · expires 2026-01-31 · Rosalind Franklin University, the Chicago Medical School.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Hospitals they work in
2 hospitals
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Insight Hospital and Medical Center ChicagoChicago, ILAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPatients rate it 2 of 5 · 46% would definitely recommend itOverall rating: 1 of 5 starsNo measure marked better or worse than the national rate
- John H Stroger Jr HospitalChicago, ILAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Cook County Health and Hospital System, which runs 2 hospitalsPatients rate it 2 of 5 · 68% would definitely recommend itOverall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.534, Oct 2024 – Sep 2025
See every measure and the patient survey for Insight Hospital and Medical Center Chicago
Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 3 the same, 1 worse of 4 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.03 (0 to 2.11) · 134 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.12 (0.66 to 1.58) | No different | Jul 2022 – Jun 2024 |
| Death rate for heart failure patientsComplications and deaths | 9.5 · 45 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.1 · 71 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 11.3 · 32 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4.6 · 412 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.43) · 926 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.26 (0.05 to 0.48) · 933 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.71 (1.17 to 6.24) · 122 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.62 (0 to 3.33) · 31 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.23 (0.54 to 3.93) · 126 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 10.98 (1.38 to 20.57) · 36 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.06 (0.79 to 9.32) · 29 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.76 (0.23 to 3.29) · 31 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.93 (0 to 2.04) · 689 cases | No different | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0.811 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.4 · 88 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -30.9 · 61 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 27.6 · 67 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.3 · 80 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.4 · 37 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.7 (9.3 to 17.4) · 88 cases | No different | Jan 2022 – Dec 2024 |
What patients said (167 patients answered, 15% of those asked)
| Cleanliness | 2 |
| Nurse communication | 1 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 1 |
| Overall hospital rating | 2 |
| Quietness | 3 |
| Recommend hospital | 1 |
| Room was "always" clean | 64% |
| Nurses "always" communicated well | 67% |
| Doctors "always" communicated well | 72% |
| Staff "always" explained | 55% |
| Yes, staff "did" give patients this information | 77% |
| Yes, staff "did" give patients information about help after discharge | 76% |
| Doctors "always" explained things so they could understand | 63% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 45% |
| Staff "always" explained new medications | 74% |
| Nurses "always" explained things so they could understand | 67% |
| Nurses "always" listened carefully | 65% |
| Nurses "always" treated them with courtesy and respect | 68% |
| "Always" quiet at night | 57% |
| "YES", patients would definitely recommend the hospital | 46% |
| Staff "always" explained possible side effects | 37% |
| Yes, staff "did" give patients information about possible symptoms | 77% |
See every measure and the patient survey for John H Stroger Jr Hospital
Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 1 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.534 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.95 (0 to 1.99) · 383 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.91 (0.51 to 1.31) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 197.62 (142.2 to 253.05) · 28 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 6.6 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 12.1 · 34 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 130 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 11.6 · 53 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 9.4 · 48 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.1 · 914 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.19 (0 to 0.41) · 2,089 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.25 (0.04 to 0.46) · 2,137 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.2 (1.79 to 6.6) · 425 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.59 (0 to 3.28) · 28 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.27 (0.67 to 3.87) · 436 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 9.76 (0.8 to 18.73) · 29 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.07 (0.8 to 9.35) · 26 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.69 (0.19 to 3.19) · 92 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.25 (0 to 1.11) · 1,921 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.629 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.546 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 1.093 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.804 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.41 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.4 · 57 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.9 · 270 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -26.3 · 167 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 106.5 · 53 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.8 · 108 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 4.8 (3.1 to 7.2) · 112 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11.3 (8.1 to 15.7) · 112 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for CABGUnplanned return visits | 12.3 · 31 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.7 · 99 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13 (9.6 to 17.3) · 363 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 60 cases | No different | Jan 2024 – Dec 2024 |
What patients said (1,084 patients answered, 9% of those asked)
| Cleanliness | 2 |
| Nurse communication | 2 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 3 |
| Room was "always" clean | 58% |
| Nurses "always" communicated well | 72% |
| Doctors "always" communicated well | 79% |
| Staff "always" explained | 56% |
| Yes, staff "did" give patients this information | 80% |
| Yes, staff "did" give patients information about help after discharge | 79% |
| Doctors "always" explained things so they could understand | 75% |
| Doctors "always" listened carefully | 78% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 66% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 68% |
| Nurses "always" listened carefully | 70% |
| Nurses "always" treated them with courtesy and respect | 79% |
| "Always" quiet at night | 50% |
| "YES", patients would definitely recommend the hospital | 68% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 80% |
Original Medicare doctor bills
$25,259
Medicare paid this office $25,259 for 223 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 92 | $11,674 | $126 |
| Emergency department visit with moderate level of medical decision making | 100 | $8,502 | $84 |
| Critical care, first 30-74 minutes | 18 | $3,345 | $186 |
| Emergency department visit with low level of medical decision making | 16 | $729 | $46 |
Who their Medicare patients are
223 Original Medicare patients in 2024. Average age 71 · Under 65 20% · 85 and older 14% · Women 62% · Also on Medicaid 73% · Health risk score 2.60. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Diabetes 45% · Chronic kidney disease 41% · Depression 33% · Heart failure 32% · Coronary heart disease 26% · COPD 22% · Atrial fibrillation 22% · Stroke 18% · Dementia 15% · Cancer 14%.
The office billed $130,557, Medicare allowed $37,051 and paid $25,259; for 244 services of 13 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 223 | 244 | 71 | 2.60 | $130,557 | $25,259 |
| 2023 | 278 | 313 | 71 | 2.05 | $213,868 | $34,779 |
| 2022 | 406 | 455 | 70 | 2.29 | $229,497 | $53,394 |
| 2021 | 309 | 350 | 69 | 2.09 | $227,719 | $44,841 |
| 2020 | 345 | 403 | 69 | 2.40 | $284,631 | $47,783 |
| 2019 | 351 | 417 | 72 | 1.95 | $252,127 | $45,254 |
| 2018 | 160 | 191 | 72 | 2.25 | $94,833 | $21,339 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 4 services
| Emergency department visit with high level of medical decision making | 119 | $17,353 | $139 |
| Emergency department visit with moderate level of medical decision making | 101 | $9,376 | $88 |
| Critical care, first 30-74 minutes | 25 | $4,570 | $183 |
| Emergency department visit with low level of medical decision making | 38 | $2,058 | $51 |
2022: 4 services
| Emergency department visit with high level of medical decision making | 250 | $36,233 | $140 |
| Emergency department visit with moderate level of medical decision making | 65 | $6,429 | $91 |
| Critical care, first 30-74 minutes | 24 | $4,650 | $194 |
| Emergency department visit with low level of medical decision making | 78 | $4,358 | $54 |
2021: 4 services
| Emergency department visit with high level of medical decision making | 205 | $30,940 | $144 |
| Emergency department visit with moderate level of medical decision making | 76 | $6,843 | $88 |
| Critical care, first 30-74 minutes | 18 | $3,424 | $190 |
| Emergency department visit with low level of medical decision making | 19 | $1,080 | $57 |
2020: 4 services
| Emergency department visit with high level of medical decision making | 178 | $27,867 | $148 |
| Emergency department visit with moderate level of medical decision making | 97 | $9,949 | $99 |
| Critical care, first 30-74 minutes | 30 | $5,677 | $189 |
| Emergency department visit with low level of medical decision making | 45 | $2,158 | $47 |
2019: 6 services
| Emergency department visit with high level of medical decision making | 165 | $23,503 | $142 |
| Emergency department visit with moderate level of medical decision making | 89 | $8,394 | $94 |
| Critical care, first 30-74 minutes | 40 | $7,320 | $183 |
| Emergency department visit with low level of medical decision making | 32 | $1,632 | $51 |
| Ultrasound of heart, follow-up | 11 | $255 | $23 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 18 | $145 | $7 |
2018: 3 services
| Emergency department visit with high level of medical decision making | 91 | $13,947 | $152 |
| Emergency department visit with moderate level of medical decision making | 41 | $4,185 | $102 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15 | $124 | $8 |
Medicaid work
$55,161 in 2024
Medicaid paid $55,161 for 843 billed services this clinician did in 2024, up to 81 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| EMERGENCY DEPT VISIT MOD MDM | 453 | $30,425 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 139 | $15,940 |
| EMERGENCY DEPT VISIT LOW MDM | 203 | $7,808 |
| Service | 16 | $608 |
| Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided) | 20 | $248 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 12 | $132 |
| 2024 | 843 | 6 | 81 | $55,161 |
| 2023 | 1,413 | 7 | 77 | $78,855 |
| 2022 | 2,013 | 7 | 64 | $117,514 |
| 2021 | 1,241 | 4 | 57 | $74,612 |
| 2020 | 1,318 | 4 | 77 | $73,687 |
| 2019 | 764 | 4 | 55 | $45,244 |
| 2018 | 404 | 6 | 63 | $23,754 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPT VISIT MOD MDM | 522 | $33,943 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 219 | $23,148 |
| EMERGENCY DEPT VISIT LOW MDM | 417 | $15,703 |
| Service | 127 | $4,669 |
| Service | 78 | $795 |
| COMPREHENSIVE METABOLIC PANEL | 25 | $344 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 25 | $253 |
2022
| EMERGENCY DEPT VISIT MOD MDM | 681 | $44,385 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 450 | $44,026 |
| EMERGENCY DEPT VISIT LOW MDM | 569 | $21,771 |
| Service | 151 | $5,597 |
| Service | 106 | $1,104 |
| COMPREHENSIVE METABOLIC PANEL | 27 | $357 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 29 | $274 |
2021
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 402 | $35,076 |
| EMERGENCY DEPT VISIT MOD MDM | 537 | $28,750 |
| EMERGENCY DEPT VISIT LOW MDM | 251 | $8,901 |
| Service | 51 | $1,886 |
2020
| EMERGENCY DEPT VISIT MOD MDM | 488 | $28,508 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 316 | $26,973 |
| EMERGENCY DEPT VISIT LOW MDM | 477 | $16,845 |
| Service | 37 | $1,362 |
2019
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 253 | $20,141 |
| EMERGENCY DEPT VISIT MOD MDM | 264 | $15,537 |
| EMERGENCY DEPT VISIT LOW MDM | 207 | $8,115 |
| Service | 40 | $1,452 |
2018
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 118 | $10,517 |
| EMERGENCY DEPT VISIT MOD MDM | 110 | $7,308 |
| EMERGENCY DEPT VISIT LOW MDM | 99 | $4,478 |
| Service | 22 | $791 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 42 | $512 |
| Radiologic examination, chest; 2 views | 13 | $148 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 91.0 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1669887337
- Licence
- CA A155962California A155962: Delinquent · expires 2026-01-31
- Group
- Cook County · Iems Physician Services PLLC · Rockford Health Physicians
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X)
- Mailing address
- 900 Welch Rd, Ste 350, Stanford, CA, 94305
- NPI first listed
- 2014-06-21
- NPI last updated
- 2026-04-08
- NPI record certified
- 2026-04-08
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 1969 W Ogden Ave, Chicago, IL, 60612 · 875 S Route 31, Crystal Lake, IL, 60014 · 1045 W Stephenson St, Freeport, IL, 61032 · 901 Grant St, Harvard, IL, 60033 · 8201 E Riverside Blvd, Rockford, IL, 61114