Based on public Medicaid payment data.
Raul Sustaita
Medicaid Provider in Donna, TX
Type
Individual Provider
Address
2010 East Business 83
Donna, TX 785373500
Phone
9564616666
NPI
1801894704
Procedures
2
Total Claims
194
Patients Served
186
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 | $22.58 | 131 | 123 |
| Blood Work & Lab Tests | $17.82 | 63 | 63 |
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