Medicaid Provider Spending

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI: 1922411065 · NEW YORK, NY 10019 · Obstetrics & Gynecology Physician · NPI assigned 06/06/2014

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

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

$1.27M
Total Medicaid Paid
25,482
Total Claims
22,375
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACNEILL, CRYSTAL (VP, CBO DIRECTOR)
NPI Enumeration Date06/06/2014

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 $11.34M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,812 $122K
2019 2,302 $99K
2020 2,389 $110K
2021 3,621 $179K
2022 5,251 $287K
2023 5,346 $290K
2024 3,761 $183K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,609 11,853 $858K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,111 5,488 $264K
76819 Fetal biophysical profile; without non-stress testing 1,394 1,270 $53K
76818 583 450 $33K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 239 238 $22K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 25 25 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 341 319 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 159 137 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 27 27 $2K
99238 Hospital discharge day management, 30 minutes or less 13 13 $861.37
99000 1,196 963 $844.56
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 16 16 $551.16
1036F 1,769 1,576 $0.00