Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $3.23M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 36% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1437421252assigned 02/09/2012
33bProvider typeOphthalmology Physician
28Total paid$3.23M
24GClaims62,938
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#37 of 1,085
Median peer was paid$34K
This provider vs. median96×
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.
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 | 2,287 | $232K | |
| 2019 | 2,055 | $165K | |
| 2020 | 1,632 | $121K | |
| 2021 | 7,619 | $366K | |
| 2022 | 15,560 | $763K | |
| 2023 | 18,397 | $905K | |
| 2024incomplete | 15,388 | $682K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 36% | 24,752 | 23,542 | $1.15M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 6,387 | 6,313 | $520K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.5% | 2,720 | 2,720 | $275K |
| 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 | 8.4% | 1,883 | 1,882 | $273K |
| 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 | 6.3% | 2,742 | 2,691 | $205K |
| 92134 | 5.1% | 7,525 | 7,146 | $164K | |
| 92060 | 4.4% | 3,141 | 3,121 | $142K | |
| 92002 | 4.3% | 3,645 | 3,639 | $140K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 3.4% | 1,565 | 1,500 | $109K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 478 | 214 | $46K |
| 92083 | 1.2% | 1,384 | 1,371 | $38K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 614 | 543 | $36K |
19 more codes
| 92015 | Determination of refractive state | <1% | 1,346 | $24K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 189 | $21K |
| J0178 | Injection, aflibercept, 1 mg | <1% | 40 | $20K |
| 92133 | <1% | 930 | $17K | |
| 92201 | <1% | 1,068 | $15K | |
| 92226 | <1% | 442 | $10K | |
| 92202 | <1% | 844 | $8K | |
| 92020 | <1% | 360 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 56 | $4K |
| 31231 | <1% | 19 | $4K | |
| 92250 | <1% | 163 | $3K | |
| 99284 | Emergency room visit (serious) | <1% | 13 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 106 | $991.24 |
| 76512 | <1% | 13 | $600.46 | |
| 92025 | <1% | 14 | $288.55 | |
| 76514 | <1% | 14 | $110.18 | |
| 1036F | 0% | 430 | $0.00 | |
| 2022F | 0% | 38 | $0.00 | |
| 99072 | 0% | 17 | $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 officialPETERSON, EDWARD (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Icahn School of Medicine at Mount Sinai | New York, NY | $5.55M |
| Icahn School of Medicine at Mount Sinai | New York, NY | $2.56M |
| Icahn School of Medicine at Mount Sinai | New York, NY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.