Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1124550280 · NEW YORK, NY 10019 · Orthopaedic Surgery Physician · NPI assigned 03/29/2017

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

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

$1.65M
Total Medicaid Paid
23,258
Total Claims
22,160
Beneficiaries
19
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO DIRECTOR)
NPI Enumeration Date03/29/2017

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 NEW YORK NY $2.40M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,656 $55K
2019 4,255 $210K
2020 2,626 $172K
2021 4,388 $364K
2022 4,591 $376K
2023 4,512 $360K
2024 1,230 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,786 6,526 $381K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,250 4,115 $357K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,644 3,637 $310K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,444 2,438 $302K
20611 2,995 2,473 $170K
99205 Prolong outpt/office vis 276 276 $55K
99215 Prolong outpt/office vis 262 260 $36K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 253 253 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 416 393 $12K
73110 132 116 $6K
20610 59 52 $2K
73120 40 40 $1K
73130 25 25 $1K
73100 12 12 $472.47
73502 12 12 $23.57
73564 65 63 $14.02
99072 32 32 $0.00
4004F 157 146 $0.00
1036F 1,398 1,291 $0.00