Based on public Medicaid payment data.
Monica Edith Lopez
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 761778633
Phone
8174162229
NPI
1508081316
Procedures
4
Total Claims
1.1K
Patients Served
766
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 | $33.35 | 557 | 359 |
| Urinalysis & Urine Tests | $2.69 | 454 | 339 |
| Ultrasound | $79.26 | 46 | 43 |
| Vaccines & Immunizations | $11.06 | 25 | 25 |
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