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ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Internal Medicine, Cardiovascular Disease·NEW YORK, NY·NPI: 1487912416Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.8M

$21,816,772

Total Claims

514K

Beneficiaries

443K

1.2 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+43%
2019
$2.3M
+11%
2020
$2.5M
+57%
2021
$4.0M
+7%
2022
$4.2M
-1%
2023
$4.2M
-28%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 30% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$6.6M

80K claims · 30.3%

Your Cost: $83.04/claim|Median: $53.41
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$4.6M

61K claims · 20.9%

Your Cost: $75.01/claim|Median: $54.68
1.4× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$1.3M

20K claims · 5.9%

Your Cost: $63.98/claim|Median: $37.81
1.7× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$1.3M

9,479 claims · 5.9%

Your Cost: $136.54/claim|Median: $84.03
1.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.3M

199K claims · 5.9%

Your Cost: $6.43/claim|Median: $5.60
1.1× median
G2066Top 5%

$1.0M

7,204 claims · 4.7%

Your Cost: $141.65/claim|Median: $14.66
9.7× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$549K

6,798 claims · 2.5%

Your Cost: $80.82/claim|Median: $35.30
2.3× median
93458Normal range

Left heart catheterization with imaging

$509K

2,105 claims · 2.3%

Your Cost: $241.63/claim|Median: $183.33
1.3× median
36475Normal range

$448K

1,258 claims · 2.1%

Your Cost: $356.36/claim|Median: $902.80
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$434K

4,655 claims · 2.0%

Your Cost: $93.22/claim|Median: $74.09
1.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$421K

31K claims · 1.9%

Your Cost: $13.77/claim|Median: $9.70
1.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$315K

6,907 claims · 1.4%

Your Cost: $45.55/claim|Median: $23.99
1.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$310K

2,408 claims · 1.4%

Your Cost: $128.73/claim|Median: $67.32
1.9× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$263K

4,303 claims · 1.2%

Your Cost: $61.23/claim|Median: $43.07
1.4× median
93299Top 5%

$252K

1,252 claims · 1.2%

Your Cost: $201.27/claim|Median: $19.91
10.1× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$246K

2,617 claims · 1.1%

Your Cost: $93.88/claim|Median: $57.85
1.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$227K

2,529 claims · 1.0%

Your Cost: $89.62/claim|Median: $106.14
0.8× median
93298Top 10%

$206K

7,440 claims · 0.9%

Your Cost: $27.68/claim|Median: $14.28
1.9× median
93015Top 25%

$172K

2,509 claims · 0.8%

Your Cost: $68.47/claim|Median: $41.12
1.7× median
93351Normal range

$158K

1,748 claims · 0.7%

Your Cost: $90.67/claim|Median: $140.02
0.6× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$131K

1,683 claims · 0.6%

Your Cost: $77.71/claim|Median: $51.25
1.5× median
93016Top 25%

$125K

6,945 claims · 0.6%

Your Cost: $18.03/claim|Median: $12.24
1.5× median
75574Normal range

$111K

1,166 claims · 0.5%

Your Cost: $95.44/claim|Median: $102.06
0.9× median
93018Normal range

$86K

7,101 claims · 0.4%

Your Cost: $12.05/claim|Median: $8.92
1.4× median
99152Normal range

$79K

4,924 claims · 0.4%

Your Cost: $16.06/claim|Median: $7.34
2.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$77K

466 claims · 0.4%

Your Cost: $165.28/claim|Median: $111.09
1.5× median
93296Top 25%

Remote monitoring of cardiac device, single or dual lead

$74K

4,902 claims · 0.3%

Your Cost: $15.13/claim|Median: $10.24
1.5× median
93925Normal range

$72K

696 claims · 0.3%

Your Cost: $104.08/claim|Median: $54.12
1.9× median
92928Top 25%

$72K

141 claims · 0.3%

Your Cost: $507.69/claim|Median: $224.97
2.3× median
93295Top 25%

$48K

1,763 claims · 0.2%

Your Cost: $27.50/claim|Median: $21.14
1.3× median
78451Normal range

$48K

951 claims · 0.2%

Your Cost: $50.56/claim|Median: $84.57
0.6× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$45K

987 claims · 0.2%

Your Cost: $45.28/claim|Median: $49.03
0.9× median
93320Normal range

$43K

2,448 claims · 0.2%

Your Cost: $17.44/claim|Median: $28.68
0.6× median
93297Top 10%

$39K

1,875 claims · 0.2%

Your Cost: $20.72/claim|Median: $8.99
2.3× median
93798Normal range

Cardiac rehabilitation with continuous ECG monitoring, per session

$37K

1,921 claims · 0.2%

Your Cost: $19.05/claim|Median: $44.45
0.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$29K

1,995 claims · 0.1%

Your Cost: $14.44/claim|Median: $16.77
0.9× median
A9500Top 5%

Technetium-99m radiopharmaceutical diagnostic imaging agent

$14K

63 claims · 0.1%

Your Cost: $215.68/claim|Median: $64.30
3.4× median
93325Normal range

$12K

2,947 claims · 0.1%

Your Cost: $4.03/claim|Median: $14.61
0.3× median
93356Normal range

$9K

899 claims · 0.0%

Your Cost: $10.05/claim|Median: $9.51
1.1× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$9K

379 claims · 0.0%

Your Cost: $23.21/claim|Median: $25.43
0.9× median
93308Normal range

$7K

371 claims · 0.0%

Your Cost: $20.09/claim|Median: $20.08
1.0× median
36465Normal range

$7K

39 claims · 0.0%

Your Cost: $187.62/claim|Median: $792.14
0.2× median
75716Normal range

$6K

110 claims · 0.0%

Your Cost: $58.41/claim|Median: $38.10
1.5× median
93923Normal range

$6K

382 claims · 0.0%

Your Cost: $16.25/claim|Median: $38.08
0.4× median
G2211Top 25%

$5K

514 claims · 0.0%

Your Cost: $10.12/claim|Median: $2.40
4.2× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$5K

58 claims · 0.0%

Your Cost: $79.83/claim|Median: $32.55
2.5× median
J2785Top 25%

$3K

24 claims · 0.0%

Your Cost: $143.08/claim|Median: $61.83
2.3× median
99221Normal range

Initial hospital care, straightforward/low

$3K

67 claims · 0.0%

Your Cost: $48.78/claim|Median: $39.96
1.2× median
93244Normal range

$3K

171 claims · 0.0%

Your Cost: $17.34/claim|Median: $14.54
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$3K

1,626 claims · 0.0%

Your Cost: $1.71/claim|Median: $1.57
1.1× median

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