Based on public Medicaid payment data.
Victor Rafael Plasencia
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
5939 W Diversey Ave
Chicago, IL 606391155
Phone
7736371600
NPI
1801077094
Procedures
6
Total Claims
15.2K
Patients Served
13.4K
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 |
|---|---|---|---|
| Office Visit | $55.03 | 7,523 | 6,694 |
| Blood Work & Lab Tests | $4.07 | 3,705 | 3,041 |
| Hearing Test (Audiometry) | $14.25 | 1,745 | 1,580 |
| Vaccines & Immunizations | $8.90 | 1,480 | 1,315 |
| Eye Exam | $18.42 | 702 | 690 |
| Pulmonary Function Test | $30.13 | 64 | 64 |
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