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 $2.06M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1750647152assigned 04/10/2012
33bProvider typeUrology Physician
28Total paid$2.06M
24GClaims40,642
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#6 of 461
Median peer was paid$6K
This provider vs. median357×

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$40K$60K2018201920202021202220232024
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
2018819$54K
20195,045$230K
20205,867$264K
20219,386$444K
20227,349$440K
20236,911$351K
2024incomplete5,265$276K
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 33% 11,372 10,918 $682K
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 33% 8,200 7,918 $676K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16% 2,633 2,627 $324K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 2,553 2,549 $236K
52000 1.7% 316 314 $36K
76770 1.3% 271 269 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 229 229 $18K
54161 <1% 80 80 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 274 268 $12K
51741 <1% 816 738 $5K
51729 <1% 39 39 $5K
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% 379 362 $4K
15 more codes
99215 Doctor's office visit, returning patient (complex) <1% 27 $4K
36415 Collection of venous blood by venipuncture <1% 1,226 $3K
99051 <1% 597 $3K
51798 <1% 357 $2K
51797 <1% 39 $1K
99222 Initial hospital care, per day, moderate complexity <1% 12 $1K
74021 <1% 29 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 12 $1K
51784 <1% 48 $1K
51600 <1% 34 $532.26
99072 <1% 1,265 $348.00
74455 <1% 12 $182.92
81002 <1% 73 $182.76
1036F <1% 8,553 $46.25
4004F 0% 1,196 $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 (CBO DIRECTOR, VICE PRESIDENT)
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.