MOUNT SINAI SCHOOL OF MEDICINE · NPI 1396212445

NPI: 1396212445 · ROCKVILLE CENTRE, NY 11570 · Pediatrics Physician · NPI assigned 10/26/2018

$81K

Total Medicaid Paid

2,355

Total Claims

2,213

Beneficiaries

Codes Billed

2020-06

First Month

2024-10

Last Month

Provider Details

Authorized Official	GRESHAM, ALICIA (VP NETWORK OPERATIONS)
NPI Enumeration Date	10/26/2018

Related Entities

Provider	City	State	Total Paid
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	STATEN ISLAND	NY	$2.56M
MOUNT SINAI SCHOOL OF MEDICINE	ROCKVILLE CENTRE	NY	$1.46M
MOUNT SINAI SCHOOL OF MEDICINE	OCEANSIDE	NY	$790K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	MINEOLA	NY	$433K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	STATEN ISLAND	NY	$385K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	STATEN ISLAND	NY	$316K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	NEW YORK	NY	$134K
MOUNT SINAI SCHOOL OF MEDICINE	OCEANSIDE	NY	$65K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	GARDEN CITY	NY	$60K
MOUNT SINAI SCHOOL OF MEDICINE	VALLEY STREAM	NY	$53K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	STATEN ISLAND	NY	$42K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	OCEANSIDE	NY	$41K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	BROOKLYN	NY	$40K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	OCEANSIDE	NY	$39K
MOUNT SINAI SCHOOL OF MEDICINE	OCEANSIDE	NY	$18K
MOUNT SINAI SCHOOL OF MEDICINE	OCEANSIDE	NY	$15K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	EDGEWATER	NJ	$7K
MOUNT SINAI SCHOOL OF MEDICINE	MERRICK	NY	$6K
MOUNT SINAI SCHOOL OF MEDICINE	OCEANSIDE	NY	$6K
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE	HEWLETT	NY	$4K

Monthly Spending Trend

Yearly Breakdown

Billing Codes

Code	Claims	Beneficiaries	Total Paid
99213	981	877	$53K
93010	1,151	1,115	$9K
93306	73	73	$5K
99204	32	32	$4K
99392	37	37	$3K
99214	29	27	$3K
99391	27	27	$2K
99238	25	25	$2K