Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Icahn School of Medicine at Mount Sinai

Icahn School of Medicine at Mount Sinai was paid $1.38M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10029
33aNPI1922365915assigned 04/16/2012
28Total paid$1.38M
24GClaims21,752
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#111 of 231
Median peer was paid$561K
This provider vs. median2.5×

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$40K$60K2018201920202021202220232024
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
20181,058$52K
20192,357$83K
20202,450$111K
20212,885$200K
20223,170$215K
20234,912$348K
2024incomplete4,920$374K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 5,955 5,867 $503K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 7,793 7,601 $410K
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 9.0% 1,044 1,044 $124K
88305 Level IV - Surgical pathology, gross and microscopic examination 8.7% 2,059 1,850 $120K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.2% 1,048 1,048 $85K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4.8% 1,307 1,307 $67K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 776 750 $21K
88313 1.0% 236 200 $14K
88304 <1% 370 342 $12K
88312 <1% 133 109 $11K
11900 <1% 146 134 $4K
99451 <1% 144 144 $4K
5 more codes
17110 <1% 53 $3K
99222 Initial hospital care, per day, moderate complexity <1% 16 $2K
99442 <1% 16 $394.42
1036F <1% 430 $57.71
4004F 0% 226 $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 (CBO DIRECTOR, VICE PRESIDENT)
Same official

Other billing entities under MACNEILL, CRYSTAL

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