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

MT Sinai School of Medicine of New York University

MT Sinai School of Medicine of New York University was paid $2.07M by Medicaid between Jan 2018 and Oct 2021, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoMT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY
LONG ISLAND CITY, NY 11103
33aNPI1437477312assigned 05/17/2010
33bProvider typeDermatology Physician
28Total paid$2.07M
24GClaims36,114
24DCodes billed38
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Dermatology Physician providers in New York

Rank by total paid#31 of 349
Median peer was paid$26K
This provider vs. median81×

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$50K$100K$150K2018201920202021202220232024
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
201814,777$872K
201917,421$1.02M
20203,725$181K
2021191$3K
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 54% 14,977 14,160 $1.13M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 7,221 6,929 $370K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6.2% 1,527 1,512 $129K
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 6.1% 891 881 $126K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5.3% 1,093 1,089 $110K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.6% 622 619 $53K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2.2% 289 289 $46K
93000 1.4% 1,932 1,903 $28K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,825 1,806 $10K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 445 443 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 83 80 $8K
99386 <1% 53 53 $6K
26 more codes
90686 <1% 314 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 377 $5K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 654 $5K
G0444 Annual depression screening, 5 to 15 minutes <1% 463 $5K
36415 Collection of venous blood by venipuncture <1% 2,062 $5K
99385 <1% 38 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 79 $3K
93018 <1% 196 $3K
99222 Initial hospital care, per day, moderate complexity <1% 26 $3K
94726 <1% 44 $2K
99443 <1% 14 $2K
99442 <1% 26 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 19 $1K
99215 Doctor's office visit, returning patient (complex) <1% 12 $1K
99407 <1% 33 $859.10
94060 <1% 13 $764.71
94729 <1% 13 $692.75
93227 <1% 29 $673.94
93015 <1% 13 $585.77
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 33 $527.17
99051 <1% 63 $376.18
99000 <1% 60 $155.73
1036F 0% 509 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 12 $0.00
4004F 0% 39 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 15 $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)
Parent organizationMOUNT SINAI HOSPITAL
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.