Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Icahn School of Medicine at Mount Sinai

Icahn School of Medicine at Mount Sinai was paid $1.37M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1588937064assigned 02/15/2012
33bProvider typePediatrics Physician
28Total paid$1.37M
24GClaims21,961
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#226 of 1,983
Median peer was paid$17K
This provider vs. median81×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018627$38K
20191,413$84K
20201,708$116K
20213,892$248K
20225,112$319K
20235,248$348K
2024incomplete3,961$216K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 49% 6,609 5,914 $678K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 4,595 4,408 $344K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 16% 3,456 1,015 $220K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.3% 484 435 $58K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.5% 498 139 $48K
36415 Collection of venous blood by venipuncture <1% 4,940 4,117 $9K
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 <1% 57 52 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 60 30 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 24 24 $1K
49082 <1% 20 13 $877.26
91200 <1% 36 36 $280.53
99072 <1% 854 765 $120.00
1 more codes
1036F 0% 328 $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 (VICE PRESIDENT, CBO DIRECTOR)
Same official

Other billing entities under MACNEILL, CRYSTAL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.