Based on public Medicaid payment data.
Jessica Ballesteros-Holmes
Medicaid Provider in Bristow, VA
Type
Individual Provider
Address
10492 Bristow Center Dr
Bristow, VA 201362202
Phone
5713794246
NPI
1972257525
Procedures
2
Total Claims
750
Patients Served
686
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 | $83.24 | 696 | 633 |
| Blood Work & Lab Tests | $6.02 | 54 | 53 |
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