Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ASTORIA, NY 11102
ASTORIA, NY 11102
33aNPI1477932275assigned 05/26/2015
33bProvider typeDermatology Physician
28Total paid$2.24M
24GClaims47,299
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in New York
Rank by total paid#28 of 349
Median peer was paid$26K
This provider vs. median88×
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
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 | 2,653 | $92K | |
| 2019 | 6,385 | $301K | |
| 2020 | 6,786 | $308K | |
| 2021 | 9,189 | $406K | |
| 2022 | 7,397 | $404K | |
| 2023 | 8,692 | $450K | |
| 2024incomplete | 6,197 | $280K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 11,260 | 11,117 | $687K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 23% | 8,307 | 3,027 | $519K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 7,873 | 7,666 | $308K |
| 99223 | Prolong inpt eval add15 m | 7.1% | 1,099 | 1,023 | $158K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.6% | 1,182 | 1,177 | $104K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.6% | 1,338 | 1,329 | $81K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.1% | 755 | 737 | $71K |
| 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 | 3.1% | 481 | 477 | $70K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 1,800 | 1,738 | $49K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 499 | 490 | $45K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 225 | 225 | $27K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 259 | 131 | $22K |
36 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 80 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 401 | $13K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 200 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 298 | $12K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,425 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 224 | $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) | <1% | 399 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 49 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 124 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 68 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 86 | $2K |
| 99221 | <1% | 43 | $2K | |
| 20611 | <1% | 19 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 247 | $2K |
| 94010 | <1% | 40 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 149 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $901.68 |
| 36415 | Collection of venous blood by venipuncture | <1% | 783 | $702.97 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $698.29 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 24 | $583.74 |
| 92015 | Determination of refractive state | <1% | 58 | $463.60 |
| 99051 | <1% | 250 | $454.01 | |
| 90686 | <1% | 90 | $372.77 | |
| 93000 | <1% | 12 | $188.10 | |
| 93016 | <1% | 12 | $179.86 | |
| 90474 | <1% | 29 | $161.19 | |
| 93018 | <1% | 12 | $118.76 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 14 | $110.23 |
| 94060 | <1% | 13 | $88.18 | |
| 1036F | <1% | 5,573 | $31.01 | |
| 90647 | 0% | 26 | $0.00 | |
| 90723 | 0% | 28 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 4004F | 0% | 640 | $0.00 | |
| 99072 | 0% | 702 | $0.00 | |
| 90670 | 0% | 50 | $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 (VICE PRESIDENT, CBO DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.