Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $2.67M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEWYORK, NY 10029
NEWYORK, NY 10029
33aNPI1558627844assigned 04/11/2012
33bProvider typeNeurological Surgery Physician
28Total paid$2.67M
24GClaims32,464
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurological Surgery Physician providers in New York
Rank by total paid#1 of 80
Median peer was paid$3K
This provider vs. median834×
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 MACNEILL, CRYSTAL 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 | |
|---|---|---|---|
| 2018 | 2,398 | $228K | |
| 2019 | 3,511 | $313K | |
| 2020 | 1,785 | $143K | |
| 2021 | 4,079 | $388K | |
| 2022 | 4,900 | $448K | |
| 2023 | 8,099 | $646K | |
| 2024incomplete | 7,692 | $508K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 8,054 | 7,978 | $658K |
| 95720 | 23% | 3,538 | 2,085 | $623K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 3,170 | 3,092 | $378K |
| 95819 | 8.5% | 3,580 | 3,528 | $228K | |
| 95951 | 6.2% | 520 | 370 | $167K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 2,716 | 2,688 | $147K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 1,376 | 674 | $94K |
| 99223 | Prolong inpt eval add15 m | 3.0% | 525 | 496 | $79K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 677 | 676 | $72K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 173 | 67 | $31K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 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) | <1% | 2,338 | 2,306 | $26K |
28 more codes
| 95957 | <1% | 374 | $20K | |
| 99205 | Prolong outpt/office vis | <1% | 141 | $19K |
| 95886 | <1% | 290 | $16K | |
| 95812 | <1% | 90 | $15K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 114 | $14K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 115 | $13K |
| 64615 | <1% | 108 | $11K | |
| 95941 | <1% | 53 | $7K | |
| 95718 | <1% | 56 | $5K | |
| 95816 | <1% | 86 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 28 | $4K |
| 92083 | <1% | 68 | $2K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 36 | $2K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 28 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 192 | $1K |
| 95911 | <1% | 12 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $895.32 |
| 95938 | <1% | 26 | $881.13 | |
| 95861 | <1% | 12 | $879.48 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 22 | $525.71 |
| 93320 | <1% | 28 | $499.52 | |
| 99307 | <1% | 250 | $450.73 | |
| 95885 | <1% | 13 | $382.42 | |
| 93000 | <1% | 26 | $373.05 | |
| 93325 | <1% | 66 | $200.61 | |
| 1036F | <1% | 3,138 | $10.90 | |
| 4004F | 0% | 85 | $0.00 | |
| 99072 | 0% | 26 | $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 officialMACNEILL, CRYSTAL (CBO DIRECTOR, VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.