Based on public Medicaid payment data.
Dimitri J Koumanis
Medicaid Provider in Glens Falls, NY
Type
Individual Provider
Address
13 Chester Street
Glens Falls, NY 128014432
Phone
5182032593
NPI
1003992926
Procedures
2
Total Claims
178
Patients Served
175
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 | $116.11 | 152 | 149 |
| Prescription Medications | $1,226 | 26 | 26 |
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