Based on public Medicaid payment data.
Phommalone Mone Nguyen
Medicaid Provider in Austin, TX
Type
Individual Provider
Address
10815 Ranch Road 2222 Bldg 3A
Austin, TX 787301159
Phone
5123274262
NPI
1851756589
Procedures
2
Total Claims
215
Patients Served
196
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 | $42.23 | 203 | 184 |
| Vaccines & Immunizations | $29.85 | 12 | 12 |
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