Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1073867040 · ELMHURST, NY 11373 · Optometrist · NPI assigned 10/30/2012

$62K
Total Medicaid Paid
921
Total Claims
908
Beneficiaries
5
Codes Billed
2018-04
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGONZALEZ JIMENEZ, MARIA PILAR (DIRECTOR, FACULTY PRACTICE GROUP)
NPI Enumeration Date10/30/2012

Related Entities

Other providers sharing the same authorized official: GONZALEZ JIMENEZ, MARIA PILAR

ProviderCityStateTotal Paid
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ELMHURST NY $2.75M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ELMHURST NY $1.35M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ELMHURST NY $294K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ELMHURST NY $176K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ELMHURST NY $97K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ELMHURST NY $2K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ELMHURST NY $359.53
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ELMHURST NY $183.85

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118 $6K
2019 62 $4K
2020 18 $648.44
2021 218 $13K
2022 301 $23K
2023 204 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 627 621 $43K
99284 Emergency department visit for the evaluation and management, high severity 69 68 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 166 160 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31 31 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $2K