Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $14.50M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10018
NEW YORK, NY 10018
33aNPI1275802811assigned 12/28/2011
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$14.50M
24GClaims197,528
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmental - Behavioral Pediatrics Physician providers in New York
Rank by total paid#1 of 18
Median peer was paid$6K
This provider vs. median2,272×
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
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 | 13,586 | $859K | |
| 2019 | 22,510 | $1.37M | |
| 2020 | 24,137 | $1.53M | |
| 2021 | 33,788 | $2.75M | |
| 2022 | 33,242 | $2.82M | |
| 2023 | 37,719 | $2.94M | |
| 2024incomplete | 32,546 | $2.23M |
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 | 16% | 23,600 | 22,217 | $2.25M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 12% | 4,734 | 1,274 | $1.77M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.3% | 11,956 | 10,873 | $1.35M |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 8.3% | 9,031 | 8,322 | $1.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 25,617 | 24,412 | $1.18M |
| 99460 | 6.0% | 10,024 | 9,894 | $876K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.7% | 11,761 | 11,626 | $830K |
| 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 | 4.4% | 4,543 | 4,512 | $634K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 6,685 | 2,501 | $506K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.9% | 1,928 | 552 | $422K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 8,688 | 8,485 | $408K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 3,466 | 1,157 | $376K |
62 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 8,371 | $352K |
| 93320 | 2.1% | 9,248 | $298K | |
| 93325 | 1.5% | 13,876 | $219K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 1.5% | 576 | $215K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 1,258 | $195K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 4,978 | $167K |
| 93000 | 1.0% | 10,008 | $151K | |
| 99462 | <1% | 3,161 | $123K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,215 | $118K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,294 | $113K |
| 99205 | Prolong outpt/office vis | <1% | 729 | $104K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 865 | $100K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 715 | $82K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 652 | $66K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,377 | $40K |
| 76825 | <1% | 160 | $39K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 275 | $36K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 626 | $33K |
| 99381 | <1% | 559 | $32K | |
| 99223 | Prolong inpt eval add15 m | <1% | 141 | $21K |
| 76821 | <1% | 181 | $16K | |
| 54150 | <1% | 141 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 358 | $12K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 99 | $12K |
| 76827 | <1% | 161 | $11K | |
| 99464 | <1% | 170 | $11K | |
| 31231 | <1% | 49 | $10K | |
| 76820 | <1% | 193 | $9K | |
| 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% | 544 | $8K |
| 99463 | <1% | 74 | $8K | |
| 54161 | <1% | 43 | $8K | |
| 92567 | <1% | 387 | $7K | |
| 99417 | Prolong home eval add 15m | <1% | 155 | $6K |
| 95800 | <1% | 153 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 409 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,686 | $5K |
| 92551 | <1% | 633 | $3K | |
| 96401 | <1% | 88 | $3K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 221 | $3K |
| 93244 | <1% | 138 | $2K | |
| 93296 | <1% | 125 | $2K | |
| 93304 | <1% | 14 | $2K | |
| 92558 | <1% | 244 | $1K | |
| 93297 | <1% | 29 | $1K | |
| 99051 | <1% | 327 | $1K | |
| 93976 | <1% | 31 | $1K | |
| 99242 | <1% | 12 | $981.48 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 211 | $967.08 |
| 93356 | <1% | 29 | $902.96 | |
| 99442 | <1% | 15 | $736.22 | |
| 93242 | <1% | 62 | $686.49 | |
| 93321 | <1% | 29 | $524.85 | |
| 99072 | <1% | 1,060 | $448.50 | |
| 92504 | <1% | 13 | $447.71 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $302.51 |
| 0298T | <1% | 63 | $285.80 | |
| 77001 | <1% | 13 | $214.00 | |
| 0296T | <1% | 40 | $182.39 | |
| 99188 | <1% | 12 | $115.68 | |
| 0358T | <1% | 128 | $113.00 | |
| 98960 | <1% | 13 | $84.30 | |
| 99173 | <1% | 45 | $69.15 |
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 (VP, CBO DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.