Based on public Medicaid payment data.
Ilia Rosa Sumoza
Medicaid Provider in Fenton, MO
Type
Individual Provider
Address
1011 Bowles Ave
Fenton, MO 630262395
Phone
6364964640
NPI
1548447113
Procedures
2
Total Claims
217
Patients Served
171
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 | $45.35 | 114 | 101 |
| Blood Work & Lab Tests | $3.02 | 103 | 70 |
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