Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1518211580assigned 10/30/2012
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.35M
24GClaims31,173
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#30 of 161
Median peer was paid$100K
This provider vs. median13×
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.
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 | 2,561 | $75K | |
| 2019 | 2,862 | $94K | |
| 2020 | 2,948 | $96K | |
| 2021 | 4,242 | $195K | |
| 2022 | 5,603 | $260K | |
| 2023 | 7,103 | $347K | |
| 2024incomplete | 5,854 | $279K |
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 | 52% | 18,542 | 18,010 | $703K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 4,544 | 4,518 | $235K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.3% | 1,353 | 1,349 | $84K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.1% | 961 | 947 | $69K |
| 99460 | 4.5% | 824 | 824 | $60K | |
| 99462 | 4.0% | 1,668 | 1,587 | $54K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 910 | 910 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 418 | 418 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 288 | 288 | $15K |
| 99442 | 1.1% | 296 | 294 | $15K | |
| 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 | <1% | 181 | 180 | $11K |
| 99441 | <1% | 202 | 194 | $6K |
8 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 39 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 249 | $4K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 104 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 315 | $2K |
| 93320 | <1% | 104 | $1K | |
| 99443 | <1% | 14 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 21 | $785.33 |
| 93325 | <1% | 140 | $271.41 |
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 officialGONZALEZ JIMENEZ, MARIA PILAR (DIRECTOR, FACULTY PRACTICE GROUP)
| Provider | Location | Paid |
|---|---|---|
| Icahn School of Medicine at Mount Sinai | Elmhurst, NY | $2.75M |
| Icahn School of Medicine at Mount Sinai | Elmhurst, NY | $294K |
| Icahn School of Medicine at Mount Sinai | Elmhurst, NY | $176K |
| Icahn School of Medicine at Mount Sinai | Elmhurst, NY | $97K |
| Icahn School of Medicine at Mount Sinai | Elmhurst, NY | $62K |
| Icahn School of Medicine at Mount Sinai | Elmhurst, NY | $2K |
| Icahn School of Medicine at Mount Sinai | Elmhurst, NY | $359.53 |
| Icahn School of Medicine at Mount Sinai | Elmhurst, NY | $183.85 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.