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

Faculty Practice Associates Mount Sinai School of Medicine

Faculty Practice Associates Mount Sinai School of Medicine was paid $533K by Medicaid between Apr 2018 and Nov 2024, across 13 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 31% of everything it billed.

33Billing provider infoFACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
NEW YORK, NY 10029
33aNPI1962740373assigned 01/18/2013
33bProvider typeUrology Physician
28Total paid$533K
24GClaims5,801
24DCodes billed13
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#33 of 461
Median peer was paid$6K
This provider vs. median92×

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$10K$20K$30K2018201920202021202220232024
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
2018143$12K
2019455$34K
2020501$33K
20211,277$86K
2022951$101K
20231,300$140K
2024incomplete1,174$127K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 972 972 $163K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21% 990 990 $111K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 1,240 1,226 $107K
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 14% 637 621 $72K
53450 6.8% 96 96 $36K
76770 5.3% 253 248 $28K
99051 1.1% 1,051 1,046 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.1% 95 95 $6K
99441 <1% 33 32 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 13 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 12 $547.32
81002 <1% 30 30 $88.57
1 more codes
99072 0% 379 $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 (VICE PRESIDENT CENTRAL BILLING OFC)
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.