Based on public Medicaid payment data.
Helen Rosario Jaramillo Gutierrez De Elliott
Medicaid Provider in Annandale, VA
Type
Individual Provider
Address
4208 Evergreen Ln
Annandale, VA 220033235
Phone
7036427522
NPI
1790105476
Procedures
3
Total Claims
265
Patients Served
251
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Office Visit | $48.25 | 121 | 117 |
| Urinalysis & Urine Tests | $3.75 | 79 | 79 |
| Pregnancy & Prenatal Care | $410.48 | 65 | 55 |
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