Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1770823551 · NEW YORK, NY 10029 · Surgery Physician · NPI assigned 02/15/2013

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

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

$11.34M
Total Medicaid Paid
113,941
Total Claims
106,279
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VP, CBO DIRECTOR)
NPI Enumeration Date02/15/2013

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 $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 $2.06M
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 8,793 $1.30M
2019 11,833 $1.39M
2020 9,341 $1.18M
2021 18,207 $2.00M
2022 21,364 $2.09M
2023 26,401 $2.01M
2024 18,002 $1.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36475 1,803 1,666 $2.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,234 31,086 $2.43M
46221 4,188 3,352 $1.27M
93970 6,001 5,974 $915K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,368 8,181 $832K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,099 8,086 $795K
93971 3,637 3,390 $411K
36465 259 241 $394K
46600 3,575 3,556 $341K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,814 1,811 $240K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,639 4,142 $181K
36471 1,870 1,484 $156K
99215 Prolong outpt/office vis 1,233 1,219 $147K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 706 332 $119K
36466 67 62 $103K
99205 Prolong outpt/office vis 265 265 $43K
99232 Subsequent hospital care, per day, moderate complexity 546 313 $38K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 599 599 $35K
99222 Initial hospital care, per day, moderate complexity 333 308 $32K
99223 Prolong inpt eval add15 m 250 237 $31K
11043 130 106 $19K
76536 316 310 $17K
99233 Prolong inpt eval add15 m 326 113 $16K
93925 76 76 $14K
43775 15 14 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity 343 197 $14K
36476 36 36 $11K
99221 120 118 $8K
93926 77 76 $8K
93923 65 65 $6K
93990 62 61 $4K
99051 2,299 2,149 $4K
76937 219 205 $3K
99443 13 13 $1K
99239 Hospital discharge day management, more than 30 minutes 12 12 $1K
76942 54 54 $1K
93922 100 96 $609.25
1036F 17,942 16,843 $251.54
99072 1,527 1,450 $235.50
97803 100 55 $221.76
4004F 8,599 7,914 $41.54
97802 24 12 $0.00