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 $187K by Medicaid between Feb 2020 and Oct 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 74% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1689947160assigned 02/15/2012
28Total paid$187K
24GClaims1,860
24DCodes billed7
24AFirst – last monthFeb 2020 – Oct 2024
Compared with peers

Next to other Hospice and Palliative Medicine (Internal Medicine) Physician providers in New York

Rank by total paid#4 of 47
Median peer was paid$4K
This provider vs. median46×

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$5.0K$10K$15K2018201920202021202220232024
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
2020294$29K
2021495$51K
2022107$10K
2023555$53K
2024incomplete409$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 74% 1,326 404 $138K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 15% 261 231 $28K
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 8.0% 181 160 $15K
99223 Prolong inpt eval add15 m 1.6% 25 25 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.3% 42 41 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 12 $318.31
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% 13 13 $3.65

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

Full network →

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