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

Icahn School of Medicine at Mount Sinai

Icahn School of Medicine at Mount Sinai was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NEW YORK, NY 10019
33aNPI1922411065assigned 06/06/2014
28Total paid$1.27M
24GClaims25,482
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#69 of 762
Median peer was paid$22K
This provider vs. median59×

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
20182,812$122K
20192,302$99K
20202,389$110K
20213,621$179K
20225,251$287K
20235,346$290K
2024incomplete3,761$183K
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 68% 13,609 11,853 $858K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 21% 6,111 5,488 $264K
76819 Fetal biophysical profile; without non-stress testing 4.1% 1,394 1,270 $53K
76818 2.6% 583 450 $33K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.8% 239 238 $22K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1.6% 25 25 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 341 319 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 159 137 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 27 27 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 13 13 $861.37
99000 <1% 1,196 963 $844.56
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 16 16 $551.16
1 more codes
1036F 0% 1,769 $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)
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.