Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $2.40M by Medicaid between Mar 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
NEW YORK, NY 10029
Next to other Obstetrics & Gynecology Physician providers in New York
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 148 | $17K | |
| 2019 | 893 | $75K | |
| 2020 | 2,687 | $166K | |
| 2021 | 12,601 | $634K | |
| 2022 | 9,830 | $518K | |
| 2023 | 10,293 | $511K | |
| 2024incomplete | 8,997 | $478K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 15,776 | 14,113 | $982K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 16% | 9,100 | 8,479 | $382K |
| 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 | 12% | 3,189 | 2,872 | $289K |
| 76819 | Fetal biophysical profile; without non-stress testing | 8.0% | 5,113 | 4,534 | $192K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.1% | 4,331 | 4,018 | $145K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 6.0% | 192 | 192 | $145K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.9% | 823 | 823 | $71K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.6% | 1,590 | 1,545 | $63K |
| 59025 | Fetal non-stress test | 1.7% | 1,277 | 884 | $40K |
| 76813 | <1% | 403 | 402 | $23K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 223 | 218 | $18K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 414 | 380 | $14K |
13 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 56 | $8K |
| 76801 | <1% | 131 | $6K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 496 | $5K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 123 | $4K |
| 76818 | <1% | 59 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 43 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $3K |
| 76820 | <1% | 44 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $572.00 |
| 76814 | <1% | 15 | $281.29 | |
| 4004F | 0% | 41 | $0.00 | |
| 1036F | 0% | 1,938 | $0.00 | |
| 99000 | 0% | 19 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.