Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › New York › NPI 1124392238
Physician

Icahn School of Medicine at Mount Sinai

Icahn School of Medicine at Mount Sinai was paid $1.72M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10024
33aNPI1124392238assigned 03/07/2012
28Total paid$1.72M
24GClaims20,870
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#52 of 2,113
Median peer was paid$5K
This provider vs. median380×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20183,185$312K
20193,850$309K
20202,913$233K
20212,927$260K
20224,734$351K
20232,447$183K
2024incomplete814$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 7,973 7,799 $947K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 3,754 3,679 $400K
S9083 Global fee urgent care centers 11% 2,008 1,860 $191K
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 7.1% 986 985 $122K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.9% 342 342 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,961 1,955 $8K
87430 <1% 1,440 1,429 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 64 64 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 131 122 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 737 734 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 13 $985.53
81025 <1% 370 365 $857.49
4 more codes
81002 <1% 613 $684.04
81003 <1% 397 $290.10
87400 <1% 68 $172.06
85014 0% 13 $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.

From NPPES

Who's on the registration

Authorized officialMACNEILL, CRYSTAL (VP, CBO DIRECTOR)
Same official

Other billing entities under MACNEILL, CRYSTAL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.