Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $21.82M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1487912416assigned 04/27/2012
33bProvider typeNuclear Cardiology Physician
28Total paid$21.82M
24GClaims514,267
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nuclear Cardiology Physician providers in New York
Rank by total paid#1 of 56
Median peer was paid$22K
This provider vs. median1,007×
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 | 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 | |
| 2024incomplete | 83,130 | $3.04M |
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 | 30% | 79,613 | 77,535 | $6.61M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 21% | 60,930 | 59,800 | $4.57M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 20,267 | 19,822 | $1.30M |
| 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 | 5.9% | 9,479 | 9,452 | $1.29M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.9% | 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 | 4.7% | 7,204 | 7,191 | $1.02M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.5% | 6,798 | 3,044 | $549K |
| 93458 | 2.3% | 2,105 | 2,053 | $509K | |
| 36475 | 2.1% | 1,258 | 1,000 | $448K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 4,655 | 4,481 | $434K |
| 93000 | 1.9% | 30,552 | 29,881 | $421K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 6,907 | 3,148 | $315K |
64 more codes
| 99223 | Prolong inpt eval add15 m | 1.4% | 2,408 | $310K |
| 93970 | 1.2% | 4,303 | $263K | |
| 93299 | 1.2% | 1,252 | $252K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 2,617 | $246K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.0% | 2,529 | $227K |
| 93298 | <1% | 7,440 | $206K | |
| 93015 | <1% | 2,509 | $172K | |
| 93351 | <1% | 1,748 | $158K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,683 | $131K |
| 93016 | <1% | 6,945 | $125K | |
| 75574 | <1% | 1,166 | $111K | |
| 93018 | <1% | 7,101 | $86K | |
| 99152 | <1% | 4,924 | $79K | |
| 99205 | Prolong outpt/office vis | <1% | 466 | $77K |
| 93296 | <1% | 4,902 | $74K | |
| 93925 | <1% | 696 | $72K | |
| 92928 | <1% | 141 | $72K | |
| 93295 | <1% | 1,763 | $48K | |
| 78451 | <1% | 951 | $48K | |
| 93880 | <1% | 987 | $45K | |
| 93320 | <1% | 2,448 | $43K | |
| 93297 | <1% | 1,875 | $39K | |
| 93798 | <1% | 1,921 | $37K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,995 | $29K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 63 | $14K |
| 93325 | <1% | 2,947 | $12K | |
| 93356 | <1% | 899 | $9K | |
| 93971 | <1% | 379 | $9K | |
| 93308 | <1% | 371 | $7K | |
| 36465 | <1% | 39 | $7K | |
| 75716 | <1% | 110 | $6K | |
| 93923 | <1% | 382 | $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% | 514 | $5K |
| 99443 | <1% | 58 | $5K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 24 | $3K |
| 99221 | <1% | 67 | $3K | |
| 93244 | <1% | 171 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,626 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 52 | $3K |
| 36246 | <1% | 12 | $3K | |
| 93294 | <1% | 262 | $3K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 39 | $2K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 16 | $2K |
| 75625 | <1% | 40 | $2K | |
| 99284 | Emergency room visit (serious) | <1% | 13 | $2K |
| 93272 | <1% | 66 | $1K | |
| 99442 | <1% | 25 | $1K | |
| 93922 | <1% | 83 | $866.89 | |
| 99072 | <1% | 3,965 | $861.00 | |
| 93228 | <1% | 36 | $709.82 | |
| 99051 | <1% | 56 | $671.21 | |
| 99454 | <1% | 47 | $515.41 | |
| 1036F | <1% | 5,250 | $420.13 | |
| 4004F | <1% | 2,581 | $414.98 | |
| 37252 | <1% | 12 | $400.72 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $202.80 |
| 99457 | <1% | 25 | $180.51 | |
| 93307 | <1% | 27 | $144.43 | |
| 88304 | <1% | 13 | $143.91 | |
| 93242 | <1% | 18 | $126.76 | |
| 3046F | <1% | 69 | $60.00 | |
| 93227 | <1% | 12 | $29.18 | |
| 99499 | 0% | 28 | $0.00 | |
| 4011F | 0% | 14 | $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.