Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Icahn School of Medicine at Mount Sinai

Icahn School of Medicine at Mount Sinai was paid $215K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1497029581assigned 03/07/2012
28Total paid$215K
24GClaims3,968
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Neurological Surgery Physician providers in New York

Rank by total paid#7 of 80
Median peer was paid$3K
This provider vs. median67×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018332$13K
2019701$35K
2020342$16K
2021578$25K
2022626$43K
2023979$58K
2024incomplete410$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 1,796 1,774 $117K
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 18% 424 407 $40K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13% 168 56 $28K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.9% 75 75 $11K
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 4.4% 71 71 $10K
95941 1.9% 37 36 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.3% 24 24 $3K
95938 <1% 149 145 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 18 12 $959.34
95939 <1% 27 25 $728.03
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 12 $499.02
99072 <1% 123 122 $19.50
2 more codes
4004F 0% 25 $0.00
1036F 0% 1,019 $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 (CBO VICE PRESIDENT)
Same official

Other billing entities under MACNEILL, CRYSTAL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.