Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mount Sinai School of Medicine

Mount Sinai School of Medicine was paid $81K by Medicaid between Jun 2020 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoMOUNT SINAI SCHOOL OF MEDICINE
ROCKVILLE CENTRE, NY 11570
33aNPI1396212445assigned 10/26/2018
33bProvider typePediatrics Physician
28Total paid$81K
24GClaims2,355
24DCodes billed8
24AFirst – last monthJun 2020 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#731 of 1,983
Median peer was paid$17K
This provider vs. median4.7×

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 GRESHAM, ALICIA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
202085$3K
2021350$8K
2022525$18K
2023650$26K
2024incomplete745$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 66% 981 877 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12% 1,151 1,115 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5.7% 73 73 $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 4.8% 32 32 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.5% 37 37 $3K
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 3.2% 29 27 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.5% 27 27 $2K
99238 Hospital discharge day management, 30 minutes or less 2.4% 25 25 $2K

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)
Same official

Other billing entities under GRESHAM, ALICIA

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