Based on public Medicaid payment data.
Guillermo A. San Roman
Medicaid Provider in Deer Park, NY
Type
Individual Provider
Address
1630 Deer Park Ave
Deer Park, NY 117295210
Phone
6312426166
NPI
1386668499
Procedures
3
Total Claims
8.3K
Patients Served
7.9K
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 |
|---|---|---|---|
| EKG / ECG (Electrocardiogram) | $8.63 | 5,596 | 5,230 |
| Office Visit | $71.07 | 2,596 | 2,547 |
| Echocardiogram | $112.32 | 100 | 100 |
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