Based on public Medicaid payment data.
Ansu Mathew Punnoose
Medicaid Provider in Fulton, MD
Type
Individual Provider
Address
8175 Westside Blvd Ste D
Fulton, MD 207592708
Phone
2405802650
NPI
1235496233
Procedures
2
Total Claims
707
Patients Served
637
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 | $74.63 | 657 | 589 |
| Vaccines & Immunizations | $19.92 | 50 | 48 |
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