Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1558627844 · NEWYORK, NY 10029 · Neurological Surgery Physician · NPI assigned 04/11/2012

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

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

$2.67M
Total Medicaid Paid
32,464
Total Claims
29,417
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (CBO DIRECTOR, VICE PRESIDENT)
NPI Enumeration Date04/11/2012

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 NEW YORK NY $3.24M
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 2,398 $228K
2019 3,511 $313K
2020 1,785 $143K
2021 4,079 $388K
2022 4,900 $448K
2023 8,099 $646K
2024 7,692 $508K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,054 7,978 $658K
95720 3,538 2,085 $623K
99215 Prolong outpt/office vis 3,170 3,092 $378K
95819 3,580 3,528 $228K
95951 520 370 $167K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,716 2,688 $147K
99232 Subsequent hospital care, per day, moderate complexity 1,376 674 $94K
99223 Prolong inpt eval add15 m 525 496 $79K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 677 676 $72K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 173 67 $31K
99233 Prolong inpt eval add15 m 302 174 $29K
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) 2,338 2,306 $26K
95957 374 294 $20K
99205 Prolong outpt/office vis 141 141 $19K
95886 290 281 $16K
95812 90 90 $15K
99222 Initial hospital care, per day, moderate complexity 114 111 $14K
99239 Hospital discharge day management, more than 30 minutes 115 114 $13K
64615 108 108 $11K
95941 53 53 $7K
95718 56 54 $5K
95816 86 85 $4K
90837 Psychotherapy, 53 minutes with patient 28 12 $4K
92083 68 67 $2K
99358 Prolong nursin fac eval 15m 36 33 $2K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 28 28 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 192 158 $1K
95911 12 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $895.32
95938 26 26 $881.13
95861 12 12 $879.48
99231 Subsequent hospital care, per day, straightforward or low complexity 22 12 $525.71
93320 28 28 $499.52
99307 250 248 $450.73
95885 13 13 $382.42
93000 26 26 $373.05
93325 66 64 $200.61
1036F 3,138 3,091 $10.90
4004F 85 84 $0.00
99072 26 26 $0.00