Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1124392212 · NEW YORK, NY 10029 · Obstetrics & Gynecology Physician · NPI assigned 03/07/2012

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

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

$2.40M
Total Medicaid Paid
45,449
Total Claims
41,053
Beneficiaries
25
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (CBO, VICE PRESIDENT)
NPI Enumeration Date03/07/2012

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 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
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 148 $17K
2019 893 $75K
2020 2,687 $166K
2021 12,601 $634K
2022 9,830 $518K
2023 10,293 $511K
2024 8,997 $478K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,776 14,113 $982K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,100 8,479 $382K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,189 2,872 $289K
76819 Fetal biophysical profile; without non-stress testing 5,113 4,534 $192K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,331 4,018 $145K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 192 192 $145K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 823 823 $71K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,590 1,545 $63K
59025 Fetal non-stress test 1,277 884 $40K
76813 403 402 $23K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 223 218 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 414 380 $14K
99215 Prolong outpt/office vis 56 55 $8K
76801 131 129 $6K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 496 495 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 123 116 $4K
76818 59 39 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 43 43 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 40 $3K
76820 44 28 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $572.00
76814 15 15 $281.29
4004F 41 32 $0.00
1036F 1,938 1,574 $0.00
99000 19 14 $0.00