Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1518228550 · NEW YORK, NY 10029 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 06/06/2012

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

Authorized official MACNEILL, CRYSTAL controls 20+ related entities in our dataset. Read more

$3.24M
Total Medicaid Paid
50,164
Total Claims
44,588
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO)
NPI Enumeration Date06/06/2012

Related Entities

Other providers sharing the same authorized official: MACNEILL, CRYSTAL

ProviderCityStateTotal Paid
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $21.82M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $15.31M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $14.50M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $11.34M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $6.70M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $5.66M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $4.98M
FPA HOSPITAL BASED NEW YORK NY $4.95M
FPA HOSPITAL BASED NEW YORK NY $4.68M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEWYORK NY $2.67M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.65M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.40M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ASTORIA NY $2.24M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.23M
MT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY LONG ISLAND CITY NY $2.07M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.06M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.04M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.72M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.71M
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $1.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,205 $117K
2019 5,376 $368K
2020 5,245 $470K
2021 9,330 $796K
2022 9,323 $699K
2023 10,488 $490K
2024 7,197 $302K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,004 11,842 $1.01M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,250 1,808 $930K
99233 Prolong inpt eval add15 m 4,077 1,425 $400K
99215 Prolong outpt/office vis 1,477 1,439 $174K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,296 1,295 $154K
94729 6,864 6,845 $133K
94726 4,722 4,714 $95K
99223 Prolong inpt eval add15 m 604 580 $94K
94060 4,153 4,142 $77K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,246 1,212 $75K
95810 Polysomnography; sleep staging with 4 or more additional parameters 247 247 $32K
94375 1,567 1,555 $27K
36573 126 112 $9K
99205 Prolong outpt/office vis 42 42 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 85 84 $7K
95782 43 43 $6K
94010 486 484 $5K
95800 103 103 $4K
94727 188 188 $3K
99232 Subsequent hospital care, per day, moderate complexity 29 24 $2K
99417 Prolong home eval add 15m 25 25 $876.71
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) 75 69 $720.68
94618 15 15 $365.82
1036F 5,805 5,680 $75.60
36410 84 77 $12.48
4004F 526 513 $0.00
99072 25 25 $0.00