Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Icahn School of Medicine at Mount Sinai

Icahn School of Medicine at Mount Sinai was paid $621K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1386980985assigned 12/31/2012
28Total paid$621K
24GClaims10,426
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Rehabilitation Practitioner providers in New York

Rank by total paid#6 of 18
Median peer was paid$68K
This provider vs. median9.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018491$40K
2019700$38K
20201,648$85K
20211,985$131K
20222,571$181K
20232,269$106K
2024incomplete762$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 49% 3,763 3,652 $305K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 20% 1,849 377 $125K
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 19% 918 918 $116K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.4% 836 806 $46K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.4% 464 229 $15K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 80 79 $10K
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% 52 52 $4K
99457 <1% 149 85 $413.05
99454 <1% 136 112 $214.72
99458 <1% 81 76 $95.00
99453 <1% 63 63 $49.00
4004F 0% 66 65 $0.00
2 more codes
99072 0% 13 $0.00
1036F 0% 1,956 $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 officialMACNEILL, CRYSTAL (VP, CBO DIRECTOR)
Same official

Other billing entities under MACNEILL, CRYSTAL

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