Based on public Medicaid payment data.
Wanda Ivette Vidal
Medicaid Provider in Fajardo, PR
Type
Individual Provider
Address
Ave. General Valero #404
Fajardo, PR 00738
Phone
7876550505
NPI
1790995363
Procedures
1
Total Claims
68
Patients Served
65
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 | $0.00 | 68 | 65 |
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