Based on public Medicaid payment data.
Sara De La Rosa
Medicaid Provider in Decatur, IL
Type
Individual Provider
Address
960 E Mound Rd
Decatur, IL 625262099
Phone
2178775050
NPI
1992190821
Procedures
2
Total Claims
148
Patients Served
138
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 |
|---|---|---|---|
| Eye Exam | $24.65 | 136 | 126 |
| Office Visit | $24.67 | 12 | 12 |
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