Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1659639524 · NEW YORK, NY 10029 · Internal Medicine Physician · NPI assigned 04/30/2012

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

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

$15.31M
Total Medicaid Paid
229,531
Total Claims
175,449
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO DIRECTOR)
NPI Enumeration Date04/30/2012

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 $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 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 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
2024 37,982 $2.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 57,630 56,397 $4.33M
99233 Prolong inpt eval add15 m 46,318 16,617 $4.04M
99232 Subsequent hospital care, per day, moderate complexity 33,601 13,149 $2.09M
99223 Prolong inpt eval add15 m 8,974 8,266 $1.38M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,357 24,933 $1.00M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,868 4,849 $533K
99239 Hospital discharge day management, more than 30 minutes 5,637 5,377 $484K
99222 Initial hospital care, per day, moderate complexity 3,279 3,095 $349K
99215 Prolong outpt/office vis 2,628 2,553 $328K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,308 1,298 $102K
99220 721 713 $101K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,139 1,138 $96K
99238 Hospital discharge day management, 30 minutes or less 1,367 1,332 $82K
99235 582 579 $82K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,911 5,798 $67K
46607 213 212 $28K
99217 416 400 $23K
99236 Prolong inpt eval add15 m 132 131 $20K
99234 181 179 $19K
99219 170 166 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 206 206 $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) 1,814 1,776 $18K
36415 Collection of venous blood by venipuncture 9,250 9,111 $12K
99284 Emergency department visit for the evaluation and management, high severity 98 95 $11K
99336 93 91 $11K
91320 84 84 $8K
99443 155 148 $8K
99051 757 753 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 304 262 $5K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 33 32 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 63 63 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 98 56 $4K
90686 199 199 $4K
99385 49 49 $4K
99221 35 34 $3K
99442 108 107 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 458 455 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 325 319 $3K
99225 44 40 $2K
99350 Prolong home eval add 15m 141 138 $2K
99218 24 24 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12 12 $1K
99441 41 40 $1K
93000 66 66 $495.22
G0444 Annual depression screening, 5 to 15 minutes 96 96 $405.07
99447 23 12 $384.84
91200 15 15 $66.30
1036F 11,802 11,493 $62.57
4004F 1,373 1,306 $0.00
99499 170 85 $0.00
99072 1,126 1,063 $0.00
99453 12 12 $0.00
99454 12 12 $0.00