Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1477932275 · ASTORIA, NY 11102 · Dermatology Physician · NPI assigned 05/26/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MACNEILL, CRYSTAL controls 20+ related entities in our dataset. Read more

$2.24M
Total Medicaid Paid
47,299
Total Claims
40,582
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO DIRECTOR)
NPI Enumeration Date05/26/2015

Related Entities

Other providers sharing the same authorized official: MACNEILL, CRYSTAL

ProviderCityStateTotal Paid
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $21.82M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $15.31M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $14.50M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $11.34M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $6.70M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $5.66M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $4.98M
FPA HOSPITAL BASED NEW YORK NY $4.95M
FPA HOSPITAL BASED NEW YORK NY $4.68M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $3.24M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEWYORK NY $2.67M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.65M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.40M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.23M
MT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY LONG ISLAND CITY NY $2.07M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.06M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.04M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.72M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.71M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,653 $92K
2019 6,385 $301K
2020 6,786 $308K
2021 9,189 $406K
2022 7,397 $404K
2023 8,692 $450K
2024 6,197 $280K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,260 11,117 $687K
99232 Subsequent hospital care, per day, moderate complexity 8,307 3,027 $519K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,873 7,666 $308K
99223 Prolong inpt eval add15 m 1,099 1,023 $158K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,182 1,177 $104K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,338 1,329 $81K
99222 Initial hospital care, per day, moderate complexity 755 737 $71K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 481 477 $70K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,800 1,738 $49K
99239 Hospital discharge day management, more than 30 minutes 499 490 $45K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 225 225 $27K
99233 Prolong inpt eval add15 m 259 131 $22K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 80 27 $18K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 401 401 $13K
99238 Hospital discharge day management, 30 minutes or less 200 197 $12K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 298 295 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,425 1,070 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 224 223 $6K
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) 399 398 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 49 45 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 124 124 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 68 67 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 86 85 $2K
99221 43 42 $2K
20611 19 17 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 247 244 $2K
94010 40 39 $1K
90472 Immunization administration, each additional vaccine (list separately) 149 122 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28 28 $901.68
36415 Collection of venous blood by venipuncture 783 775 $702.97
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $698.29
99231 Subsequent hospital care, per day, straightforward or low complexity 24 13 $583.74
92015 Determination of refractive state 58 58 $463.60
99051 250 245 $454.01
90686 90 90 $372.77
93000 12 12 $188.10
93016 12 12 $179.86
90474 29 29 $161.19
93018 12 12 $118.76
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 14 14 $110.23
94060 13 13 $88.18
1036F 5,573 5,338 $31.01
90647 26 26 $0.00
90723 28 28 $0.00
90680 13 13 $0.00
4004F 640 610 $0.00
99072 702 671 $0.00
90670 50 50 $0.00