Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MT KISCO SURGERY CENTER LLC

NPI: 1831274208 · MT KISCO, NY 10549 · Ambulatory Surgical Clinic/Center · NPI assigned 10/26/2006

$22K
Total Medicaid Paid
39
Total Claims
26
Beneficiaries
1
Codes Billed
2020-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialMOCCIO, DONNA (ADMINISTRATOR)
NPI Enumeration Date10/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $13K
2023 13 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 39 26 $22K