Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1144581182 · NEW YORK, NY 10029 · Nephrology Physician · NPI assigned 06/06/2012

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

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

$2.04M
Total Medicaid Paid
23,283
Total Claims
16,514
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO DIRECTOR)
NPI Enumeration Date06/06/2012

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 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 $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 600 $38K
2019 1,026 $83K
2020 1,634 $163K
2021 2,699 $295K
2022 4,181 $401K
2023 6,821 $531K
2024 6,322 $529K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,818 4,816 $1.06M
99232 Subsequent hospital care, per day, moderate complexity 6,049 2,238 $352K
99233 Prolong inpt eval add15 m 2,604 1,074 $223K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,432 2,403 $189K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,498 1,486 $73K
90935 Hemodialysis procedure with single evaluation by a physician 891 473 $45K
99223 Prolong inpt eval add15 m 212 208 $28K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,585 1,759 $18K
99215 Prolong outpt/office vis 126 124 $15K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 48 15 $11K
90937 155 103 $9K
90961 51 51 $8K
99205 Prolong outpt/office vis 26 26 $4K
99222 Initial hospital care, per day, moderate complexity 51 50 $4K
90966 12 12 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 42 13 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 73 73 $434.43
99072 13 13 $0.00
1036F 1,597 1,577 $0.00