Based on public Medicaid payment data.
Everick Ayala-Bustamante
Medicaid Provider in Bronx, NY
Type
Individual Provider
Address
1065 Southern Blvd
Bronx, NY 104592417
Phone
7185892440
NPI
1114265766
Procedures
3
Total Claims
3.4K
Patients Served
3.3K
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 |
|---|---|---|---|
| Mammogram | $76.65 | 2,688 | 2,681 |
| Ultrasound | $56.87 | 672 | 560 |
| X-Ray | $8.46 | 12 | 12 |
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