Based on public Medicaid payment data.
Fredy Jesus Revilla
Medicaid Provider in Greenville, SC
Type
Individual Provider
Address
200 Patewood Dr Ste B350
Greenville, SC 296156337
Phone
8644544500
NPI
1760418610
Procedures
1
Total Claims
42
Patients Served
27
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 |
|---|---|---|---|
| Prescription Medications | $899.24 | 42 | 27 |
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