Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1750647152 · NEW YORK, NY 10029 · Urology Physician · NPI assigned 04/10/2012

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

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

$2.06M
Total Medicaid Paid
40,642
Total Claims
39,096
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (CBO DIRECTOR, VICE PRESIDENT)
NPI Enumeration Date04/10/2012

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
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY $2.23M
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 $2.04M
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 819 $54K
2019 5,045 $230K
2020 5,867 $264K
2021 9,386 $444K
2022 7,349 $440K
2023 6,911 $351K
2024 5,265 $276K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,372 10,918 $682K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,200 7,918 $676K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,633 2,627 $324K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,553 2,549 $236K
52000 316 314 $36K
76770 271 269 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 229 229 $18K
54161 80 80 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 274 268 $12K
51741 816 738 $5K
51729 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) 379 362 $4K
99215 Prolong outpt/office vis 27 26 $4K
36415 Collection of venous blood by venipuncture 1,226 1,205 $3K
99051 597 593 $3K
51798 357 345 $2K
51797 39 39 $1K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
74021 29 29 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $1K
51784 48 39 $1K
51600 34 25 $532.26
99072 1,265 1,152 $348.00
74455 12 12 $182.92
81002 73 73 $182.76
1036F 8,553 8,093 $46.25
4004F 1,196 1,130 $0.00