Medicaid Provider Spending

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

MOUNT SINAI SCHOOL OF MEDICINE

NPI: 1508127531 · OCEANSIDE, NY 11572 · Obesity Medicine (Internal Medicine) Physician · NPI assigned 06/06/2012

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

Authorized official GRESHAM, ALICIA controls 20+ related entities in our dataset. Read more

$790K
Total Medicaid Paid
40,309
Total Claims
36,475
Beneficiaries
43
Codes Billed
2019-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGRESHAM, ALICIA (VP NETWORK OPERATIONS)
Parent OrganizationMOUNT SINAI HOSPITAL
NPI Enumeration Date06/06/2012

Related Entities

Other providers sharing the same authorized official: GRESHAM, ALICIA

ProviderCityStateTotal Paid
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI STATEN ISLAND NY $2.56M
MOUNT SINAI SCHOOL OF MEDICINE ROCKVILLE CENTRE NY $1.46M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI MINEOLA NY $433K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI STATEN ISLAND NY $385K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI STATEN ISLAND NY $316K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $134K
MOUNT SINAI SCHOOL OF MEDICINE ROCKVILLE CENTRE NY $81K
MOUNT SINAI SCHOOL OF MEDICINE OCEANSIDE NY $65K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI GARDEN CITY NY $60K
MOUNT SINAI SCHOOL OF MEDICINE VALLEY STREAM NY $53K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI STATEN ISLAND NY $42K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI OCEANSIDE NY $41K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI BROOKLYN NY $40K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI OCEANSIDE NY $39K
MOUNT SINAI SCHOOL OF MEDICINE OCEANSIDE NY $18K
MOUNT SINAI SCHOOL OF MEDICINE OCEANSIDE NY $15K
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI EDGEWATER NJ $7K
MOUNT SINAI SCHOOL OF MEDICINE MERRICK NY $6K
MOUNT SINAI SCHOOL OF MEDICINE OCEANSIDE NY $6K
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE HEWLETT NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,929 $35K
2020 7,573 $154K
2021 7,485 $157K
2022 9,163 $186K
2023 9,067 $172K
2024 5,092 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,675 6,161 $234K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,926 19,408 $166K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,404 1,261 $65K
99223 Prolong inpt eval add15 m 355 353 $52K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 818 815 $46K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 778 755 $45K
99238 Hospital discharge day management, 30 minutes or less 468 461 $29K
99205 Prolong outpt/office vis 143 143 $25K
99460 270 269 $23K
99233 Prolong inpt eval add15 m 198 78 $11K
88307 155 153 $10K
99464 105 104 $8K
76825 95 93 $8K
93000 470 467 $7K
99222 Initial hospital care, per day, moderate complexity 47 47 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 191 191 $5K
99462 133 122 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 284 283 $5K
99232 Subsequent hospital care, per day, moderate complexity 90 52 $5K
81002 2,043 1,809 $4K
99215 Prolong outpt/office vis 37 37 $4K
81025 635 617 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58 45 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 557 507 $4K
76827 96 94 $3K
88304 201 195 $2K
76821 60 58 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
99441 101 97 $2K
76820 60 58 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
93325 415 399 $1K
36415 Collection of venous blood by venipuncture 1,155 1,125 $1K
59025 Fetal non-stress test 13 12 $362.55
88342 12 12 $307.06
88141 17 17 $305.93
88112 19 18 $282.25
93295 12 12 $275.00
88311 12 12 $84.22
99080 77 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 43 42 $0.00
99072 42 42 $0.00
94760 15 15 $0.00