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 $2.04M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 52% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1144581182assigned 06/06/2012
33bProvider typeNephrology Physician
28Total paid$2.04M
24GClaims23,283
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#3 of 559
Median peer was paid$18K
This provider vs. median117×

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$25K$50K$75K2018201920202021202220232024
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
2018600$38K
20191,026$83K
20201,634$163K
20212,699$295K
20224,181$401K
20236,821$531K
2024incomplete6,322$529K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 52% 4,818 4,816 $1.06M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 17% 6,049 2,238 $352K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 11% 2,604 1,074 $223K
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 9.3% 2,432 2,403 $189K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.6% 1,498 1,486 $73K
90935 Hemodialysis procedure with single evaluation by a physician 2.2% 891 473 $45K
99223 Prolong inpt eval add15 m 1.4% 212 208 $28K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,585 1,759 $18K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 126 124 $15K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 48 15 $11K
90937 <1% 155 103 $9K
90961 <1% 51 51 $8K
7 more codes
99205 Prolong outpt/office vis <1% 26 $4K
99222 Initial hospital care, per day, moderate complexity <1% 51 $4K
90966 <1% 12 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 42 $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) <1% 73 $434.43
99072 0% 13 $0.00
1036F 0% 1,597 $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.