Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1487912416 · NEW YORK, NY 10029 · Nuclear Cardiology Physician · NPI assigned 04/27/2012

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

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

$21.82M
Total Medicaid Paid
514,267
Total Claims
442,810
Beneficiaries
76
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO DIRECTOR)
NPI Enumeration Date04/27/2012

Related Entities

Other providers sharing the same authorized official: MACNEILL, CRYSTAL

ProviderCityStateTotal Paid
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 ASTORIA NY $2.24M
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 30,092 $1.59M
2019 53,461 $2.27M
2020 64,152 $2.52M
2021 83,429 $3.95M
2022 93,934 $4.24M
2023 106,069 $4.21M
2024 83,130 $3.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 79,613 77,535 $6.61M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 60,930 59,800 $4.57M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,267 19,822 $1.30M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9,479 9,452 $1.29M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 199,288 144,458 $1.28M
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 7,204 7,191 $1.02M
99233 Prolong inpt eval add15 m 6,798 3,044 $549K
93458 2,105 2,053 $509K
36475 1,258 1,000 $448K
99215 Prolong outpt/office vis 4,655 4,481 $434K
93000 30,552 29,881 $421K
99232 Subsequent hospital care, per day, moderate complexity 6,907 3,148 $315K
99223 Prolong inpt eval add15 m 2,408 2,140 $310K
93970 4,303 4,268 $263K
93299 1,252 1,252 $252K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,617 2,613 $246K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,529 2,524 $227K
93298 7,440 7,409 $206K
93015 2,509 2,502 $172K
93351 1,748 1,744 $158K
99222 Initial hospital care, per day, moderate complexity 1,683 1,625 $131K
93016 6,945 6,936 $125K
75574 1,166 1,157 $111K
93018 7,101 7,092 $86K
99152 4,924 4,733 $79K
99205 Prolong outpt/office vis 466 461 $77K
93296 4,902 4,824 $74K
93925 696 696 $72K
92928 141 134 $72K
93295 1,763 1,758 $48K
78451 951 951 $48K
93880 987 984 $45K
93320 2,448 2,434 $43K
93297 1,875 1,872 $39K
93798 1,921 429 $37K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,995 623 $29K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 63 63 $14K
93325 2,947 2,896 $12K
93356 899 896 $9K
93971 379 352 $9K
93308 371 331 $7K
36465 39 28 $7K
75716 110 110 $6K
93923 382 381 $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) 514 503 $5K
99443 58 56 $5K
J2785 Injection, regadenoson, 0.1 mg 24 24 $3K
99221 67 67 $3K
93244 171 171 $3K
36415 Collection of venous blood by venipuncture 1,626 1,608 $3K
99238 Hospital discharge day management, 30 minutes or less 52 52 $3K
36246 12 12 $3K
93294 262 258 $3K
71275 Computed tomographic angiography, chest, with contrast material 39 36 $2K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 16 16 $2K
75625 40 40 $2K
99284 Emergency department visit for the evaluation and management, high severity 13 13 $2K
93272 66 66 $1K
99442 25 25 $1K
93922 83 83 $866.89
99072 3,965 3,737 $861.00
93228 36 36 $709.82
99051 56 56 $671.21
99454 47 37 $515.41
1036F 5,250 5,102 $420.13
4004F 2,581 2,504 $414.98
37252 12 12 $400.72
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 30 26 $202.80
99457 25 24 $180.51
93307 27 27 $144.43
88304 13 13 $143.91
93242 18 18 $126.76
3046F 69 66 $60.00
93227 12 12 $29.18
99499 28 13 $0.00
4011F 14 14 $0.00