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Based on public Medicaid payment data.

Ismael Enrique Diaz Davila

Medicaid Provider in Carolina, PR

Type

Individual Provider

Address

Hx15 Calle 253

Carolina, PR 00982

Phone

7876305066

NPI

1972931129

Procedures

5

Total Claims

4.8K

Patients Served

4.4K

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
Emergency Room Visit $31.94 3,379 3,055
X-Ray $7.72 625 610
CT Scan (Computed Tomography) $50.19 528 521
EKG / ECG (Electrocardiogram) $9.20 249 213
Ultrasound $23.70 41 39

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