Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $15.31M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1659639524assigned 04/30/2012
33bProvider typeInternal Medicine Physician
28Total paid$15.31M
24GClaims229,531
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#19 of 6,049
Median peer was paid$11K
This provider vs. median1,353×
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 | 18,681 | $1.09M | |
| 2019 | 23,341 | $1.54M | |
| 2020 | 23,986 | $1.78M | |
| 2021 | 38,566 | $2.65M | |
| 2022 | 41,827 | $2.88M | |
| 2023 | 45,148 | $2.93M | |
| 2024incomplete | 37,982 | $2.44M |
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 | 28% | 57,630 | 56,397 | $4.33M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 46,318 | 16,617 | $4.04M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 33,601 | 13,149 | $2.09M |
| 99223 | Prolong inpt eval add15 m | 9.0% | 8,974 | 8,266 | $1.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 25,357 | 24,933 | $1.00M |
| 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 | 3.5% | 4,868 | 4,849 | $533K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.2% | 5,637 | 5,377 | $484K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 3,279 | 3,095 | $349K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 2,628 | 2,553 | $328K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,308 | 1,298 | $102K |
| 99220 | <1% | 721 | 713 | $101K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,139 | 1,138 | $96K |
42 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,367 | $82K |
| 99235 | <1% | 582 | $82K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,911 | $67K |
| 46607 | <1% | 213 | $28K | |
| 99217 | <1% | 416 | $23K | |
| 99236 | Prolong inpt eval add15 m | <1% | 132 | $20K |
| 99234 | <1% | 181 | $19K | |
| 99219 | <1% | 170 | $18K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 206 | $18K |
| 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% | 1,814 | $18K |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,250 | $12K |
| 99284 | Emergency room visit (serious) | <1% | 98 | $11K |
| 99336 | <1% | 93 | $11K | |
| 91320 | <1% | 84 | $8K | |
| 99443 | <1% | 155 | $8K | |
| 99051 | <1% | 757 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 304 | $5K |
| 99285 | Emergency room visit (most serious) | <1% | 33 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 63 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 98 | $4K |
| 90686 | <1% | 199 | $4K | |
| 99385 | <1% | 49 | $4K | |
| 99221 | <1% | 35 | $3K | |
| 99442 | <1% | 108 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 458 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 325 | $3K |
| 99225 | <1% | 44 | $2K | |
| 99350 | Prolong home eval add 15m | <1% | 141 | $2K |
| 99218 | <1% | 24 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | $1K |
| 99441 | <1% | 41 | $1K | |
| 93000 | <1% | 66 | $495.22 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 96 | $405.07 |
| 99447 | <1% | 23 | $384.84 | |
| 91200 | <1% | 15 | $66.30 | |
| 1036F | <1% | 11,802 | $62.57 | |
| 4004F | 0% | 1,373 | $0.00 | |
| 99499 | 0% | 170 | $0.00 | |
| 99072 | 0% | 1,126 | $0.00 | |
| 99453 | 0% | 12 | $0.00 | |
| 99454 | 0% | 12 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.