Based on public Medicaid payment data.
Sandra Custodio
Medicaid Provider in Charlottesville, VA
Type
Individual Provider
Address
415 Ray C Hunt Dr Ste 2200
Charlottesville, VA 229032980
Phone
4349245700
NPI
1669886396
Procedures
3
Total Claims
1.6K
Patients Served
1.6K
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 | $11.11 | 1,026 | 993 |
| Vaccines & Immunizations | $18.36 | 380 | 370 |
| Blood Work & Lab Tests | $6.54 | 221 | 210 |
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