Based on public Medicaid payment data.
Rafael Vidal Mora
Medicaid Provider in Fort Sam Houston, TX
Type
Individual Provider
Address
3851 Roger Brooke Dr
Fort Sam Houston, TX 782344501
Phone
2109161163
NPI
1760444707
Procedures
1
Total Claims
34
Patients Served
31
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 |
|---|---|---|---|
| Urinalysis & Urine Tests | $4.38 | 34 | 31 |
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