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 $404K by Medicaid between Apr 2018 and Jul 2024, across 9 billing codes. Its largest line is S5105, Day care services, center-based; services not included in program fee, per diem — 47% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1750626560assigned 12/05/2012
28Total paid$404K
24GClaims3,368
24DCodes billed9
24AFirst – last monthApr 2018 – Jul 2024
Compared with peers

Next to other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in New York

Rank by total paid#3 of 28
Median peer was paid$9K
This provider vs. median45×

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$20K$40K2018201920202021202220232024
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
201826$2K
2019172$16K
2021492$49K
20221,634$182K
2023947$143K
2024incomplete97$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5105 Day care services, center-based; services not included in program fee, per diem 47% 1,983 244 $191K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 47% 1,092 475 $191K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.1% 151 151 $13K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.3% 53 53 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 16 16 $2K
92060 <1% 36 34 $1K
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 <1% 13 12 $872.72
92226 <1% 12 12 $123.81
99072 0% 12 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 (VP, CBO DIRECTOR)
Same official

Other billing entities under MACNEILL, CRYSTAL

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