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

North Shore Medical Group of the Mount Sinai School of Medicine

North Shore Medical Group of the Mount Sinai School of Medicine was paid $343K by Medicaid between Jun 2023 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoNORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
VALLEY STREAM, NY 11580
33aNPI1992417323assigned 12/16/2022
28Total paid$343K
24GClaims6,116
24DCodes billed16
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in New York

Rank by total paid#31 of 135
Median peer was paid$34K
This provider vs. median10×

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

$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
20232,595$148K
2024incomplete3,521$195K
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 29% 1,435 1,351 $98K
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 25% 920 831 $86K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 21% 1,319 1,232 $72K
76818 10% 499 400 $35K
76819 Fetal biophysical profile; without non-stress testing 8.4% 568 540 $29K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2.9% 264 249 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 25 25 $3K
93000 <1% 217 216 $3K
76820 <1% 78 51 $2K
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 <1% 13 13 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 30 13 $2K
76821 <1% 41 30 $1K
4 more codes
36415 Collection of venous blood by venipuncture <1% 259 $403.41
81025 <1% 43 $208.58
1036F 0% 266 $0.00
99000 0% 139 $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 officialSTREET, JANET (VP OPERATIONS)
Same official

Other billing entities under STREET, JANET

Full network →

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