Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1275802811 · NEW YORK, NY 10018 · Developmental - Behavioral Pediatrics Physician · NPI assigned 12/28/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MACNEILL, CRYSTAL controls 20+ related entities in our dataset. Read more

$14.50M
Total Medicaid Paid
197,528
Total Claims
175,217
Beneficiaries
74
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VP, CBO DIRECTOR)
NPI Enumeration Date12/28/2011

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 $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 $2.65M
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 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
2024 32,546 $2.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,600 22,217 $2.25M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 4,734 1,274 $1.77M
99215 Prolong outpt/office vis 11,956 10,873 $1.35M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 9,031 8,322 $1.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,617 24,412 $1.18M
99460 10,024 9,894 $876K
99238 Hospital discharge day management, 30 minutes or less 11,761 11,626 $830K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,543 4,512 $634K
99232 Subsequent hospital care, per day, moderate complexity 6,685 2,501 $506K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,928 552 $422K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,688 8,485 $408K
99233 Prolong inpt eval add15 m 3,466 1,157 $376K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,371 8,348 $352K
93320 9,248 8,343 $298K
93325 13,876 12,619 $219K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 576 212 $215K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,258 1,178 $195K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,978 4,973 $167K
93000 10,008 9,598 $151K
99462 3,161 2,776 $123K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,215 1,209 $118K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,294 3,288 $113K
99205 Prolong outpt/office vis 729 723 $104K
99480 Subsequent intensive care, per day, low birth weight infant 865 323 $100K
99222 Initial hospital care, per day, moderate complexity 715 675 $82K
99239 Hospital discharge day management, more than 30 minutes 652 646 $66K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,377 3,934 $40K
76825 160 159 $39K
95810 Polysomnography; sleep staging with 4 or more additional parameters 275 275 $36K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 626 626 $33K
99381 559 554 $32K
99223 Prolong inpt eval add15 m 141 134 $21K
76821 181 178 $16K
54150 141 138 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 358 344 $12K
99479 Subsequent intensive care, per day, very low birth weight infant 99 37 $12K
76827 161 160 $11K
99464 170 169 $11K
31231 49 49 $10K
76820 193 190 $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) 544 509 $8K
99463 74 74 $8K
54161 43 43 $8K
92567 387 387 $7K
99417 Prolong home eval add 15m 155 147 $6K
95800 153 152 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 409 409 $5K
36415 Collection of venous blood by venipuncture 2,686 2,371 $5K
92551 633 633 $3K
96401 88 78 $3K
T1013 Sign language or oral interpretive services, per 15 minutes 221 208 $3K
93244 138 124 $2K
93296 125 112 $2K
93304 14 12 $2K
92558 244 242 $1K
93297 29 27 $1K
99051 327 325 $1K
93976 31 30 $1K
99242 12 12 $981.48
90460 Immunization administration through 18 years of age via any route, first or only component 211 200 $967.08
93356 29 27 $902.96
99442 15 14 $736.22
93242 62 59 $686.49
93321 29 26 $524.85
99072 1,060 975 $448.50
92504 13 12 $447.71
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $302.51
0298T 63 63 $285.80
77001 13 13 $214.00
0296T 40 40 $182.39
99188 12 12 $115.68
0358T 128 128 $113.00
98960 13 13 $84.30
99173 45 45 $69.15