Based on public Medicaid payment data.
Rebecca Marie Loret De Mola
Medicaid Provider in Grand Rapids, MI
Type
Individual Provider
Address
100 Michigan St Ne
Grand Rapids, MI 495032560
Phone
6162671925
NPI
1558515957
Procedures
3
Total Claims
73
Patients Served
66
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 | $74.10 | 42 | 40 |
| Blood Work & Lab Tests | $0.00 | 18 | 13 |
| MRI (Magnetic Resonance Imaging) | $421.12 | 13 | 13 |
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