MT Kisco Surgery Center LLC

MT Kisco Surgery Center LLC was paid $22K by Medicaid between Jan 2020 and Jan 2023, across 1 billing code. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 100% of everything it billed.

33Billing provider infoMT KISCO SURGERY CENTER LLC
MT KISCO, NY 10549

33aNPI1831274208assigned 10/26/2006

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$22K

24GClaims39

24DCodes billed1

24AFirst – last monthJan 2020 – Jan 2023

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in New York

Rank by total paid#100 of 118

Median peer was paid$390K

This provider vs. median0.1×

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

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

Year	Claims	Paid
2020	26	$13K
2023	13	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	100%	39	26	$22K

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 officialMOCCIO, DONNA (ADMINISTRATOR)