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Based on public Medicaid payment data.

Su Min Ko

Medicaid Provider in Fairfax, VA

Type

Individual Provider

Address

11166 Fairfax Blvd

Fairfax, VA 220305017

Phone

7032773360

NPI

1336375450

Procedures

2

Total Claims

12.1K

Patients Served

6.2K

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 $3.46 7,131 3,675
Prescription Medications $0.85 4,944 2,573

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