Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1730440777 · NEW YORK, NY 10029 · Gastroenterology Physician · NPI assigned 06/06/2012

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

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

$2.23M
Total Medicaid Paid
30,038
Total Claims
29,327
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VICE PRESIDENT, CBO DIRECTOR)
NPI Enumeration Date06/06/2012

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 $15.31M
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
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 2,176 $187K
2019 3,053 $240K
2020 2,695 $260K
2021 5,160 $467K
2022 4,441 $358K
2023 6,858 $401K
2024 5,655 $319K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,469 10,296 $893K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,358 3,358 $431K
99215 Prolong outpt/office vis 2,781 2,709 $282K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,142 1,140 $166K
45380 Colonoscopy, flexible; with biopsy, single or multiple 758 755 $152K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,290 2,245 $142K
99232 Subsequent hospital care, per day, moderate complexity 696 470 $42K
99223 Prolong inpt eval add15 m 271 267 $39K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 207 206 $34K
91010 67 66 $14K
99222 Initial hospital care, per day, moderate complexity 88 87 $10K
91037 42 39 $7K
99233 Prolong inpt eval add15 m 53 40 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 24 24 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 41 $4K
91200 412 412 $4K
90912 26 12 $2K
90913 26 12 $1K
99221 12 12 $1K
1036F 6,662 6,549 $59.27
4004F 301 296 $0.00
99072 312 291 $0.00