Based on public Medicaid payment data.
Nicholas William Koutrelakos
Medicaid Provider in Columbia, MD
Type
Individual Provider
Address
10710 Charter Dr
Columbia, MD 210443128
Phone
4109642212
NPI
1912972415
Procedures
1
Total Claims
15
Patients Served
12
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 | $112.05 | 15 | 12 |
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