Based on public Medicaid payment data.
Sandra G Moreno
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
1500 S Main St
Fort Worth, TX 761044917
Phone
8179207160
NPI
1902895386
Procedures
3
Total Claims
741
Patients Served
693
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 | $35.46 | 702 | 666 |
| Vaccines & Immunizations | $4.71 | 24 | 14 |
| Blood Work & Lab Tests | $0.00 | 15 | 13 |
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