Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Icahn School of Medicine at Mount Sinai

Icahn School of Medicine at Mount Sinai was paid $1.65M by Medicaid between Apr 2018 and Nov 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10019
33aNPI1124550280assigned 03/29/2017
28Total paid$1.65M
24GClaims23,258
24DCodes billed19
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#14 of 429
Median peer was paid$4K
This provider vs. median429×

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
20181,656$55K
20194,255$210K
20202,626$172K
20214,388$364K
20224,591$376K
20234,512$360K
2024incomplete1,230$110K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 6,786 6,526 $381K
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 22% 4,250 4,115 $357K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19% 3,644 3,637 $310K
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 18% 2,444 2,438 $302K
20611 10% 2,995 2,473 $170K
99205 Prolong outpt/office vis 3.3% 276 276 $55K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.2% 262 260 $36K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 253 253 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 416 393 $12K
73110 <1% 132 116 $6K
20610 <1% 59 52 $2K
73120 <1% 40 40 $1K
7 more codes
73130 <1% 25 $1K
73100 <1% 12 $472.47
73502 <1% 12 $23.57
73564 <1% 65 $14.02
99072 0% 32 $0.00
4004F 0% 157 $0.00
1036F 0% 1,398 $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 (VICE PRESIDENT, CBO DIRECTOR)
Same official

Other billing entities under MACNEILL, CRYSTAL

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