Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $1.70M by Medicaid between Jan 2018 and Nov 2021, across 15 billing codes. Its largest line is 31231, — 54% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10003
NEW YORK, NY 10003
33aNPI1114476371assigned 09/29/2016
33bProvider typeOtolaryngology Physician
28Total paid$1.70M
24GClaims13,877
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Otolaryngology Physician providers in New York
Rank by total paid#14 of 302
Median peer was paid$10K
This provider vs. median168×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MACNEILL, CRYSTAL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,845 | $594K | |
| 2019 | 4,294 | $537K | |
| 2020 | 2,244 | $231K | |
| 2021 | 2,494 | $341K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 54% | 4,459 | 4,090 | $917K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 4,868 | 4,445 | $360K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 3,056 | 3,055 | $338K |
| 31237 | 2.2% | 160 | 83 | $37K | |
| 31575 | <1% | 86 | 84 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 59 | 59 | $10K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 70 | 69 | $8K |
| 92557 | <1% | 175 | 175 | $6K | |
| 92504 | <1% | 169 | 162 | $5K | |
| 69210 | <1% | 125 | 125 | $5K | |
| 99243 | <1% | 39 | 39 | $4K | |
| 92550 | <1% | 101 | 101 | $2K |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.