Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › New York › NPI 1770856254
Physician

Icahn School of Medicine at Mount Sinai

Icahn School of Medicine at Mount Sinai was paid $420K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1770856254assigned 02/15/2012
28Total paid$420K
24GClaims2,971
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Radiation Oncology Physician providers in New York

Rank by total paid#6 of 80
Median peer was paid$12K
This provider vs. median34×

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
2018166$34K
2019173$13K
2020378$105K
2021651$87K
2022729$84K
2023487$52K
2024incomplete387$45K
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 31% 1,622 1,443 $130K
36475 23% 64 59 $95K
93970 21% 456 456 $89K
77427 12% 294 139 $51K
93971 8.8% 296 265 $37K
36471 1.3% 101 91 $6K
77263 <1% 25 25 $4K
77300 <1% 24 24 $3K
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% 26 25 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 18 18 $2K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 13 13 $2K
99051 <1% 32 28 $194.88

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 (VICE PRESIDENT, CBO DIRECTOR)
Same official

Other billing entities under MACNEILL, CRYSTAL

Full network →

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