Physician
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai was paid $11.34M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 36475, — 24% of everything it billed.
33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1770823551assigned 02/15/2013
33bProvider typeSurgery Physician
28Total paid$11.34M
24GClaims113,941
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in New York
Rank by total paid#1 of 396
Median peer was paid$4K
This provider vs. median2,614×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 18,002 | $1.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 36475 | 24% | 1,803 | 1,666 | $2.68M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 33,234 | 31,086 | $2.43M |
| 46221 | 11% | 4,188 | 3,352 | $1.27M | |
| 93970 | 8.1% | 6,001 | 5,974 | $915K | |
| 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 | 7.3% | 8,368 | 8,181 | $832K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.0% | 8,099 | 8,086 | $795K |
| 93971 | 3.6% | 3,637 | 3,390 | $411K | |
| 36465 | 3.5% | 259 | 241 | $394K | |
| 46600 | 3.0% | 3,575 | 3,556 | $341K | |
| 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 | 2.1% | 1,814 | 1,811 | $240K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 4,639 | 4,142 | $181K |
| 36471 | 1.4% | 1,870 | 1,484 | $156K |
30 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 1,233 | $147K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.1% | 706 | $119K |
| 36466 | <1% | 67 | $103K | |
| 99205 | Prolong outpt/office vis | <1% | 265 | $43K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 546 | $38K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 599 | $35K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 333 | $32K |
| 99223 | Prolong inpt eval add15 m | <1% | 250 | $31K |
| 11043 | <1% | 130 | $19K | |
| 76536 | <1% | 316 | $17K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 326 | $16K |
| 93925 | <1% | 76 | $14K | |
| 43775 | <1% | 15 | $14K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 343 | $14K |
| 36476 | <1% | 36 | $11K | |
| 99221 | <1% | 120 | $8K | |
| 93926 | <1% | 77 | $8K | |
| 93923 | <1% | 65 | $6K | |
| 93990 | <1% | 62 | $4K | |
| 99051 | <1% | 2,299 | $4K | |
| 76937 | <1% | 219 | $3K | |
| 99443 | <1% | 13 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $1K |
| 76942 | <1% | 54 | $1K | |
| 93922 | <1% | 100 | $609.25 | |
| 1036F | <1% | 17,942 | $251.54 | |
| 99072 | <1% | 1,527 | $235.50 | |
| 97803 | <1% | 100 | $221.76 | |
| 4004F | <1% | 8,599 | $41.54 | |
| 97802 | 0% | 24 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.