Mount Sinai Hospital Medical Center

Mount Sinai Hospital Medical Center was paid $2.11M by Medicaid between Jan 2018 and Feb 2024, across 193 billing codes. Its largest line is 87389, Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies — 12% of everything it billed.

33Billing provider infoMOUNT SINAI HOSPITAL MEDICAL CENTER
CHICAGO, IL 60608

33aNPI1871581314assigned 10/10/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$2.11M

24GClaims355,816

24DCodes billed193

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#20 of 129

Median peer was paid$547K

This provider vs. median3.9×

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.

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	102,916	$620K
2019	188,068	$1.10M
2020	64,773	$390K
2024incomplete	59	$236.61

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	12%	12,154	11,450	$261K
77067	Screening mammography, bilateral, including computer-aided detection	12%	4,652	3,822	$247K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	9.6%	18,169	16,525	$202K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	9.0%	18,159	16,511	$191K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	6.9%	3,941	3,426	$146K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	3.3%	15,331	14,103	$70K
80053	Comprehensive metabolic panel	3.2%	25,248	21,111	$68K
84443	Thyroid stimulating hormone (TSH)	3.2%	12,649	11,878	$67K
83655		2.5%	9,774	9,454	$53K
87536		2.5%	1,433	1,042	$53K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	1.9%	2,546	664	$41K
86480		1.8%	2,085	1,903	$39K

181 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.4%	26,098	$30K
88305	Level IV - Surgical pathology, gross and microscopic examination	1.4%	1,051	$29K
71046	Radiologic examination, chest; 2 views	1.1%	1,888	$23K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	1.1%	11,165	$22K
87522	Neg quan hep c or qual rna	1.0%	928	$22K
87086	Culture, bacterial; quantitative colony count, urine	<1%	9,012	$20K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	339	$16K
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	<1%	4,124	$15K
73130		<1%	1,817	$14K
80061	Lipid panel	<1%	12,567	$13K
73565		<1%	901	$13K
92557		<1%	356	$13K
83970		<1%	849	$12K
73030		<1%	1,124	$12K
73610		<1%	854	$12K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	1,910	$12K
82607		<1%	3,641	$11K
83036	Hemoglobin; glycosylated (A1C)	<1%	10,247	$11K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	1,110	$11K
80048	Basic metabolic panel (calcium, ionized)	<1%	4,113	$11K
77066	Tomosynthesis, mammo	<1%	141	$10K
84702		<1%	4,394	$10K
86803		<1%	2,328	$10K
96367		<1%	450	$10K
73630		<1%	1,073	$9K
73562		<1%	1,042	$9K
80074		<1%	687	$8K
87186		<1%	2,173	$8K
86003		<1%	895	$8K
J1453	Injection, fosaprepitant, 1 mg	<1%	37	$8K
72100		<1%	653	$7K
80055		<1%	1,856	$7K
99070		<1%	523	$7K
87081		<1%	3,554	$7K
87340		<1%	2,611	$7K
85027		<1%	5,032	$6K
86160		<1%	889	$6K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,165	$6K
84153		<1%	1,429	$6K
73110		<1%	564	$6K
81001		<1%	9,684	$6K
82570		<1%	4,518	$5K
86336		<1%	894	$5K
86592		<1%	9,386	$5K
82728		<1%	3,720	$5K
92567		<1%	362	$5K
86706		<1%	1,767	$5K
86038		<1%	1,192	$5K
84439		<1%	3,273	$5K
84403		<1%	478	$5K
86787		<1%	2,199	$5K
73502		<1%	286	$5K
96375	Therapeutic injection; each additional sequential IV push	<1%	290	$4K
87625		<1%	613	$4K
90686		<1%	284	$4K
87088		<1%	1,302	$4K
86780		<1%	1,162	$4K
82746		<1%	1,708	$4K
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	866	$4K
73620		<1%	307	$3K
82105		<1%	1,223	$3K
76642		<1%	117	$3K
73590		<1%	293	$3K
82043		<1%	4,114	$3K
87902		<1%	39	$3K
83001		<1%	561	$3K
87338		<1%	288	$3K
83540		<1%	2,410	$2K
87480		<1%	629	$2K
80069		<1%	936	$2K
86140		<1%	2,620	$2K
87510		<1%	629	$2K
80076		<1%	1,126	$2K
96417		<1%	204	$2K
86225		<1%	722	$2K
84146		<1%	791	$2K
96415		<1%	180	$2K
82950		<1%	2,154	$2K
82951		<1%	401	$2K
84703		<1%	961	$2K
72040		<1%	199	$2K
82747		<1%	453	$2K
77065	Tomosynthesis, mammo	<1%	29	$2K
86235		<1%	182	$2K
83735		<1%	1,023	$2K
86705		<1%	442	$2K
96411		<1%	48	$1K
73560		<1%	209	$1K
85652		<1%	2,983	$1K
82553		<1%	781	$1K
87660		<1%	593	$1K
87077		<1%	2,135	$1K
86677		<1%	293	$1K
84481		<1%	750	$1K
83021		<1%	387	$1K
82677		<1%	886	$1K
88185		<1%	941	$1K
83880		<1%	254	$1K
85610		<1%	1,623	$1K
85660		<1%	1,912	$1K
86735		<1%	380	$1K
84550		<1%	1,282	$1K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	44	$1K
82550		<1%	782	$1K
86431		<1%	698	$1K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	59	$960.76
85730		<1%	876	$959.27
84402		<1%	234	$951.23
88184		<1%	943	$906.82
84156		<1%	2,031	$859.35
86200		<1%	313	$844.37
86708		<1%	435	$840.51
86850		<1%	749	$838.37
88312		<1%	95	$804.27
87070		<1%	518	$780.27
86901		<1%	866	$768.83
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	56	$764.70
86360		<1%	347	$709.95
73080		<1%	86	$695.50
86762		<1%	588	$687.46
73552		<1%	66	$680.26
86359		<1%	346	$675.01
73090		<1%	67	$571.48
86900		<1%	846	$567.80
83002		<1%	412	$543.34
86704		<1%	147	$530.94
36415	Collection of venous blood by venipuncture	<1%	922	$492.69
80164		<1%	186	$489.20
83690		<1%	499	$487.54
82565		<1%	295	$477.92
73522		<1%	31	$468.19
72082		<1%	19	$467.89
86765		<1%	391	$463.00
82784		<1%	85	$453.36
73521		<1%	42	$432.50
82310		<1%	568	$419.34
88141		<1%	297	$361.73
83516		<1%	166	$356.08
95801		<1%	13	$325.78
86593		<1%	507	$302.20
20600		<1%	60	$295.80
87205		<1%	530	$294.40
71045	Radiologic examination, chest; single view	<1%	28	$265.55
84520		<1%	273	$254.60
87177		<1%	56	$224.29
72110		<1%	14	$221.28
82952		<1%	336	$217.38
86696		<1%	41	$217.02
82085		<1%	105	$198.41
82785		<1%	87	$188.05
86800		<1%	94	$185.12
84480		<1%	118	$172.02
82247		<1%	110	$165.95
84100		<1%	169	$136.68
84165		<1%	38	$113.54
74018		<1%	12	$109.29
86695		<1%	42	$97.38
85045		<1%	214	$94.69
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	1,509	$88.19
82947		<1%	95	$85.60
82150		<1%	89	$80.90
87255		<1%	14	$80.58
84460		<1%	116	$73.95
85018		<1%	166	$66.97
82465		<1%	122	$66.23
82248		<1%	92	$65.72
85014		<1%	161	$60.19
72070		<1%	12	$56.38
85007		<1%	122	$48.16
84450		<1%	64	$47.53
83721		<1%	27	$27.51
83498		<1%	25	$26.10
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	271	$25.38
82977		<1%	40	$21.43
84436		<1%	12	$16.62
82670		<1%	30	$14.90
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	<1%	569	$14.88
82955		<1%	13	$12.57
83615		<1%	26	$11.52
82962		<1%	12	$6.56
80050	General health panel	0%	72	$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 officialKRUGEL, GARY (CFO)