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Based on public Medicaid payment data.

Garrett Dejesus

Medicaid Provider in Buffalo, NY

Type

Individual Provider

Address

Elm And Carlton St

Buffalo, NY 142630001

Phone

7168452300

NPI

1104192301

Procedures

4

Total Claims

767

Patients Served

680

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
CT Scan (Computed Tomography) $34.51 387 327
X-Ray $6.19 332 315
MRI (Magnetic Resonance Imaging) $106.77 36 26
Ultrasound $32.46 12 12

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