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

Faculty Practice Associates Mount Sinai School of Medicine

Faculty Practice Associates Mount Sinai School of Medicine was paid $373K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoFACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
NEW YORK, NY 10024
33aNPI1154696615assigned 03/16/2012
28Total paid$373K
24GClaims6,759
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#82 of 2,113
Median peer was paid$5K
This provider vs. median82×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,087$107K
2019829$66K
20201,286$63K
20211,689$54K
2022886$24K
2023482$21K
2024incomplete500$39K
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 27% 1,155 1,089 $101K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21% 1,150 1,141 $80K
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 17% 459 458 $64K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12% 1,108 1,100 $47K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 722 706 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 465 457 $13K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.8% 116 116 $10K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.5% 38 37 $6K
99051 1.4% 639 631 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.3% 588 575 $5K
99201 <1% 66 66 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 56 55 $925.68
5 more codes
99283 Emergency room visit (moderate) <1% 20 $459.23
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 34 $416.18
81003 <1% 116 $274.13
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 14 $259.14
81025 <1% 13 $26.00

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.