Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1043571086 · NEW YORK, NY 10029 · Rheumatology Physician · NPI assigned 06/06/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MACNEILL, CRYSTAL controls 20+ related entities in our dataset. Read more

$1.30M
Total Medicaid Paid
23,068
Total Claims
22,852
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO DIRECTOR)
NPI Enumeration Date06/06/2012

Related Entities

Other providers sharing the same authorized official: MACNEILL, CRYSTAL

ProviderCityStateTotal Paid
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $21.82M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $15.31M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $14.50M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $11.34M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $6.70M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $5.66M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $4.98M
FPA HOSPITAL BASED NEW YORK NY $4.95M
FPA HOSPITAL BASED NEW YORK NY $4.68M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $3.24M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEWYORK NY $2.67M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.65M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.40M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ASTORIA NY $2.24M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.23M
MT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY LONG ISLAND CITY NY $2.07M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.06M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.04M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.72M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.71M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 614 $33K
2019 842 $38K
2020 1,209 $67K
2021 3,369 $274K
2022 3,625 $277K
2023 7,427 $354K
2024 5,982 $256K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,211 13,115 $1.05M
99215 Prolong outpt/office vis 1,224 1,218 $131K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 513 513 $63K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 602 596 $30K
G2211 Visit 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's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 752 737 $8K
99205 Prolong outpt/office vis 47 47 $7K
99222 Initial hospital care, per day, moderate complexity 13 13 $2K
99221 16 16 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
99442 35 34 $845.07
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 18 $825.89
1036F 6,487 6,398 $241.98
36415 Collection of venous blood by venipuncture 138 135 $54.50