Mount Sinai School of Medicine
Mount Sinai School of Medicine was paid $1.46M by Medicaid between Jun 2019 and Jun 2023, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoMOUNT SINAI SCHOOL OF MEDICINE
ROCKVILLE CENTRE, NY 11570
ROCKVILLE CENTRE, NY 11570
33aNPI1336616549assigned 10/25/2018
33bProvider typePerinatal Registered Nurse
28Total paid$1.46M
24GClaims29,317
24DCodes billed18
24AFirst – last monthJun 2019 – Jun 2023
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GRESHAM, ALICIA 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 | |
|---|---|---|---|
| 2019 | 3,225 | $200K | |
| 2020 | 5,184 | $293K | |
| 2021 | 9,772 | $447K | |
| 2022 | 7,711 | $372K | |
| 2023 | 3,425 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 5,837 | 5,246 | $400K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 22% | 5,019 | 4,554 | $316K |
| 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 | 12% | 1,613 | 1,416 | $169K |
| 76818 | 11% | 2,227 | 1,707 | $160K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 9.4% | 2,645 | 2,501 | $137K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 8.1% | 2,286 | 2,166 | $119K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 7.3% | 914 | 912 | $107K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 226 | 226 | $20K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 146 | 146 | $11K |
| 76820 | <1% | 259 | 212 | $9K | |
| 76813 | <1% | 65 | 65 | $5K | |
| 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 | <1% | 12 | 12 | $2K |
6 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 121 | $2K |
| 76801 | <1% | 24 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,494 | $1K |
| 76821 | <1% | 16 | $783.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $528.22 |
| 99072 | <1% | 6,375 | $39.00 |
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 officialGRESHAM, ALICIA (VP NETWORK OPERATIONS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.