Physician
North Shore Medical Group of the Mount Sinai School of Medicine
North Shore Medical Group of the Mount Sinai School of Medicine was paid $8.02M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoNORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
GREENLAWN, NY 11740
GREENLAWN, NY 11740
33aNPI1275640609assigned 08/23/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$8.02M
24GClaims192,115
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New York
Rank by total paid#6 of 1,564
Median peer was paid$13K
This provider vs. median616×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 366 | $12K | |
| 2019 | 906 | $27K | |
| 2020 | 16,128 | $576K | |
| 2021 | 43,506 | $1.84M | |
| 2022 | 44,505 | $1.99M | |
| 2023 | 49,652 | $2.24M | |
| 2024incomplete | 37,052 | $1.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 39,268 | 38,032 | $3.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 28,145 | 26,782 | $1.70M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 8.5% | 7,379 | 7,345 | $684K |
| 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 | 6.0% | 3,577 | 3,555 | $478K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 3,713 | 3,699 | $326K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.0% | 4,293 | 4,265 | $318K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 1,002 | 1,002 | $133K |
| 93000 | 1.2% | 7,227 | 7,132 | $93K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 698 | 667 | $84K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13,453 | 12,147 | $66K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,672 | 2,633 | $62K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 613 | 611 | $58K |
81 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,663 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 887 | $54K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 511 | $51K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 640 | $45K |
| 99385 | <1% | 464 | $43K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 1,889 | $30K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,906 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,442 | $29K |
| 36415 | Collection of venous blood by venipuncture | <1% | 18,090 | $28K |
| 46940 | <1% | 100 | $27K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 425 | $26K |
| 99386 | <1% | 207 | $26K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 435 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 209 | $18K |
| 94010 | <1% | 709 | $18K | |
| 99443 | <1% | 223 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 251 | $17K |
| 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% | 1,364 | $16K |
| 93298 | <1% | 322 | $15K | |
| 99223 | Prolong inpt eval add15 m | <1% | 145 | $14K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 272 | $14K |
| 93016 | <1% | 712 | $13K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,152 | $11K |
| 93018 | <1% | 893 | $11K | |
| 52000 | <1% | 162 | $11K | |
| 46600 | <1% | 69 | $9K | |
| 93297 | <1% | 189 | $9K | |
| 93227 | <1% | 534 | $9K | |
| 92551 | <1% | 1,274 | $8K | |
| 90674 | <1% | 716 | $7K | |
| 90686 | <1% | 1,088 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 40 | $6K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 103 | $6K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 979 | $6K |
| 99459 | <1% | 232 | $6K | |
| 94729 | <1% | 104 | $5K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 68 | $5K |
| 94726 | <1% | 104 | $5K | |
| 93244 | <1% | 302 | $5K | |
| 46500 | <1% | 13 | $5K | |
| 75574 | <1% | 49 | $5K | |
| 93015 | <1% | 63 | $4K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 69 | $4K |
| 94060 | <1% | 116 | $4K | |
| 99442 | <1% | 67 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | $3K |
| 90461 | <1% | 171 | $3K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 344 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 65 | $3K |
| 93296 | <1% | 191 | $2K | |
| 76536 | <1% | 28 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 120 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 117 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 221 | $1K |
| 93880 | <1% | 13 | $1K | |
| 87430 | <1% | 106 | $1K | |
| 90661 | <1% | 46 | $1K | |
| 20610 | <1% | 25 | $1K | |
| 99441 | <1% | 47 | $967.97 | |
| 99177 | <1% | 327 | $867.85 | |
| 92134 | <1% | 26 | $818.50 | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $804.32 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $726.66 |
| 99051 | <1% | 241 | $669.39 | |
| 1036F | <1% | 28,407 | $621.72 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 15 | $610.65 |
| 99173 | <1% | 513 | $508.51 | |
| 93294 | <1% | 40 | $483.59 | |
| 95251 | <1% | 12 | $366.42 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 52 | $160.32 |
| 99072 | <1% | 2,540 | $81.02 | |
| 90474 | <1% | 26 | $71.03 | |
| 36416 | <1% | 13 | $3.26 | |
| 4004F | 0% | 1,700 | $0.00 | |
| 90670 | 0% | 179 | $0.00 | |
| 2022F | 0% | 25 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90647 | 0% | 56 | $0.00 | |
| 90723 | 0% | 40 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90651 | 0% | 12 | $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 officialSTREET, JANET (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Valley Stream, NY | $343K |
| Icahn School of Medicine at Mount Sinai | Jupiter, FL | $326.07 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.