Based on public Medicaid payment data.
Stacey Dimitt
Medicaid Provider in Grants, NM
Type
Individual Provider
Address
1423 E Roosevelt Ave
Grants, NM 870202245
Phone
5052876500
NPI
1508151978
Procedures
3
Total Claims
732
Patients Served
681
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 | $51.94 | 370 | 341 |
| Vaccines & Immunizations | $22.41 | 275 | 261 |
| Blood Work & Lab Tests | $7.34 | 87 | 79 |
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