Based on public Medicaid payment data.
Petronilo R Costa
Medicaid Provider in Deerfield, IL
Type
Individual Provider
Address
420 Lake Cook Rd Ste 118
Deerfield, IL 600154914
Phone
8472050237
NPI
1043435340
Procedures
2
Total Claims
352
Patients Served
327
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 | $28.43 | 296 | 272 |
| Psychiatric Evaluation | $123.73 | 56 | 55 |
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