Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1235490277 · NEW YORK, NY 10029 · Endocrinology, Diabetes & Metabolism 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

$2.65M
Total Medicaid Paid
38,124
Total Claims
35,152
Beneficiaries
25
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 $2.40M
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
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,327 $163K
2019 3,386 $255K
2020 3,447 $273K
2021 5,913 $488K
2022 7,392 $556K
2023 9,129 $525K
2024 6,530 $391K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,132 18,899 $1.75M
99215 Prolong outpt/office vis 2,580 2,555 $293K
99232 Subsequent hospital care, per day, moderate complexity 3,312 1,261 $211K
99222 Initial hospital care, per day, moderate complexity 956 925 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 721 719 $93K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,107 1,082 $72K
99233 Prolong inpt eval add15 m 754 315 $65K
99223 Prolong inpt eval add15 m 250 244 $34K
99205 Prolong outpt/office vis 38 38 $7K
95251 145 145 $4K
99451 110 109 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 90 41 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $3K
76536 82 82 $2K
36415 Collection of venous blood by venipuncture 1,990 1,982 $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) 190 190 $1K
99449 29 12 $1K
99221 13 13 $838.98
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $553.42
99442 14 13 $484.02
99417 Prolong home eval add 15m 12 12 $452.86
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $445.16
1036F 6,179 6,099 $129.51
4004F 307 303 $0.00
99072 61 61 $0.00