Based on public Medicaid payment data.
Donna Mae Divina Poliquit
Medicaid Provider in Arlington, TX
Type
Individual Provider
Address
1525 S Cooper St
Arlington, TX 760104105
Phone
8178041100
NPI
1881882835
Procedures
6
Total Claims
34.4K
Patients Served
29.3K
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 |
|---|---|---|---|
| Vaccines & Immunizations | $5.86 | 24,046 | 19,504 |
| Office Visit | $52.32 | 7,122 | 6,859 |
| Blood Work & Lab Tests | $3.01 | 2,939 | 2,872 |
| Speech Therapy | $103.40 | 255 | 36 |
| Hearing Test (Audiometry) | $0.00 | 32 | 32 |
| Pulmonary Function Test | $12.67 | 14 | 14 |
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