Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1538407176 · NEW YORK, NY 10029 · Otolaryngology Physician · NPI assigned 01/16/2013

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

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

$6.70M
Total Medicaid Paid
85,374
Total Claims
83,006
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VP, CBO DIRECTOR)
NPI Enumeration Date01/16/2013

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 $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 NEW YORK NY $3.24M
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 3,531 $336K
2019 7,163 $606K
2020 8,801 $695K
2021 17,783 $1.38M
2022 17,508 $1.48M
2023 19,540 $1.45M
2024 11,048 $749K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
31231 11,220 10,938 $1.57M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,018 19,346 $1.48M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,609 14,583 $1.47M
31579 3,851 3,738 $693K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,164 3,161 $453K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,254 3,194 $329K
31575 2,599 2,584 $261K
92524 899 888 $85K
92504 2,654 2,602 $63K
69210 2,523 2,508 $54K
31237 191 136 $46K
92557 1,520 1,504 $45K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 558 379 $34K
92520 738 726 $32K
92567 1,865 1,858 $29K
92134 446 401 $14K
92550 655 649 $12K
92553 202 200 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 205 204 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 109 109 $6K
92511 14 13 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 12 $1K
67028 Intravitreal injection of a pharmacologic agent 12 12 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 15 14 $894.87
99072 1,913 1,804 $427.50
1036F 11,261 10,615 $14.67
4004F 866 828 $0.00