Physician
Mount Sinai School of Medicine
Mount Sinai School of Medicine was paid $790K by Medicaid between Feb 2019 and Nov 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoMOUNT SINAI SCHOOL OF MEDICINE
OCEANSIDE, NY 11572
OCEANSIDE, NY 11572
33aNPI1508127531assigned 06/06/2012
33bProvider typeObesity Medicine (Internal Medicine) Physician
28Total paid$790K
24GClaims40,309
24DCodes billed43
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Obesity Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#2 of 6
Median peer was paid$6K
This provider vs. median131×
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 GRESHAM, ALICIA 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 | |
|---|---|---|---|
| 2019 | 1,929 | $35K | |
| 2020 | 7,573 | $154K | |
| 2021 | 7,485 | $157K | |
| 2022 | 9,163 | $186K | |
| 2023 | 9,067 | $172K | |
| 2024incomplete | 5,092 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 6,675 | 6,161 | $234K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 21% | 21,926 | 19,408 | $166K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 8.2% | 1,404 | 1,261 | $65K |
| 99223 | Prolong inpt eval add15 m | 6.6% | 355 | 353 | $52K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.9% | 818 | 815 | $46K |
| 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 | 5.7% | 778 | 755 | $45K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.6% | 468 | 461 | $29K |
| 99205 | Prolong outpt/office vis | 3.2% | 143 | 143 | $25K |
| 99460 | 2.9% | 270 | 269 | $23K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 198 | 78 | $11K |
| 88307 | 1.3% | 155 | 153 | $10K | |
| 99464 | <1% | 105 | 104 | $8K |
31 more codes
| 76825 | <1% | 95 | $8K | |
| 93000 | <1% | 470 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 47 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 191 | $5K |
| 99462 | <1% | 133 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 284 | $5K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 90 | $5K |
| 81002 | <1% | 2,043 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 37 | $4K |
| 81025 | <1% | 635 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 557 | $4K |
| 76827 | <1% | 96 | $3K | |
| 88304 | <1% | 201 | $2K | |
| 76821 | <1% | 60 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 99441 | <1% | 101 | $2K | |
| 76820 | <1% | 60 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 93325 | <1% | 415 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,155 | $1K |
| 59025 | Fetal non-stress test | <1% | 13 | $362.55 |
| 88342 | <1% | 12 | $307.06 | |
| 88141 | <1% | 17 | $305.93 | |
| 88112 | <1% | 19 | $282.25 | |
| 93295 | <1% | 12 | $275.00 | |
| 88311 | <1% | 12 | $84.22 | |
| 99080 | 0% | 77 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 43 | $0.00 |
| 99072 | 0% | 42 | $0.00 | |
| 94760 | 0% | 15 | $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 officialGRESHAM, ALICIA (VP NETWORK OPERATIONS)
Parent organizationMOUNT SINAI HOSPITAL
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.