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

North Shore Medical Group of the Mount Sinai School of Medicine

North Shore Medical Group of the Mount Sinai School of Medicine was paid $4K by Medicaid between Nov 2020 and Feb 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoNORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
HEWLETT, NY 11557
33aNPI1669854824assigned 06/24/2015
28Total paid$4K
24GClaims513
24DCodes billed7
24AFirst – last monthNov 2020 – Feb 2021
Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#3,868 of 6,049
Median peer was paid$11K
This provider vs. median0.4×

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 GRESHAM, ALICIA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
2020256$3K
2021257$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68% 55 53 $3K
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 21% 15 15 $914.36
90686 5.4% 14 14 $231.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.6% 17 17 $197.05
36415 Collection of venous blood by venipuncture <1% 58 58 $23.49
90460 Immunization administration through 18 years of age via any route, first or only component <1% 31 27 $9.17
99072 <1% 323 315 $7.50

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 officialGRESHAM, ALICIA (VP NETWORK OPERATIONS)
Parent organizationMOUNT SINAI MEDICAL CENTER
Same official

Other billing entities under GRESHAM, ALICIA

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