ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NPI: 1487016507
· MINEOLA, NY 11501
· Internal Medicine Physician
· NPI assigned 03/28/2016
$433K
Total Medicaid Paid
Provider Details
| Authorized Official | GRESHAM, ALICIA (VP OF NETWORK OPERATIONS) |
| Parent Organization | MOUNT SINAI HOSPITAL |
| NPI Enumeration Date | 03/28/2016 |
Related Entities
Other providers sharing the same authorized official: GRESHAM, ALICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
443 |
$11K |
| 2019 |
662 |
$42K |
| 2020 |
672 |
$40K |
| 2021 |
994 |
$46K |
| 2022 |
1,366 |
$87K |
| 2023 |
2,100 |
$132K |
| 2024 |
1,291 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,071 |
2,896 |
$306K |
| 93306 |
|
238 |
238 |
$44K |
| 93000 |
|
3,100 |
3,031 |
$44K |
| 99213 |
|
265 |
241 |
$21K |
| 99204 |
|
52 |
51 |
$8K |
| 99215 |
Prolong outpt/office vis |
40 |
38 |
$7K |
| 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) |
112 |
109 |
$1K |
| 80061 |
|
40 |
40 |
$414.31 |
| 84439 |
|
39 |
39 |
$279.58 |
| 36415 |
|
208 |
207 |
$239.88 |
| 83036 |
|
29 |
29 |
$223.70 |
| 80053 |
|
25 |
25 |
$213.84 |
| 84443 |
|
12 |
12 |
$196.34 |
| 83735 |
|
27 |
27 |
$143.73 |
| 82550 |
|
26 |
26 |
$136.51 |
| 83615 |
|
27 |
27 |
$129.49 |
| 85025 |
|
14 |
14 |
$102.94 |
| 84550 |
|
27 |
27 |
$97.05 |
| 82977 |
|
15 |
15 |
$94.81 |
| 1036F |
|
40 |
40 |
$0.00 |
| 80050 |
|
12 |
12 |
$0.00 |
| 4004F |
|
109 |
103 |
$0.00 |