Fpa Hospital Based

Fpa Hospital Based was paid $4.68M by Medicaid between Jan 2018 and Mar 2023, across 24 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 60% of everything it billed.

33Billing provider infoFPA HOSPITAL BASED
NEW YORK, NY 10029

33aNPI1326389826assigned 03/07/2013

33bProvider typeBlood Banking & Transfusion Medicine Physician

28Total paid$4.68M

24GClaims90,429

24DCodes billed24

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Blood Banking & Transfusion Medicine Physician providers in New York

Rank by total paid#1 of 8

Median peer was paid$137K

This provider vs. median34×

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	11,412	$629K
2019	15,276	$794K
2020	16,619	$826K
2021	22,309	$1.16M
2022	19,710	$1.01M
2023	5,103	$269K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	60%	46,449	37,480	$2.82M
88307		13%	6,526	6,033	$612K
88342		7.9%	8,451	7,493	$367K
88341		3.3%	1,312	1,264	$154K
88112		3.0%	5,377	5,294	$142K
88173		2.8%	1,716	1,517	$131K
88304		2.8%	9,761	8,954	$131K
88189		1.9%	1,183	1,101	$89K
85390		1.2%	1,816	1,697	$56K
88313		<1%	1,944	1,566	$37K
88141		<1%	1,390	1,390	$34K
88291		<1%	789	527	$22K

12 more codes

88311		<1%	1,340	$18K
10005		<1%	236	$17K
88312		<1%	294	$12K
88360		<1%	152	$12K
88172		<1%	274	$10K
85097		<1%	181	$8K
88300		<1%	1,157	$5K
88348		<1%	14	$1K
88108		<1%	12	$261.05
70450	Computed tomography, head or brain; without contrast material	<1%	13	$205.20
88302		<1%	27	$176.14
88160		<1%	15	$158.19

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)

Parent organizationFPA HOSPITAL BASED

Same official

Other billing entities under MACNEILL, CRYSTAL

Full network →

Provider	Location	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
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.