Based on public Medicaid payment data.
Samantha Nicole Nogula
Medicaid Provider in Hawthorne, NY
Type
Individual Provider
Address
19 Bradhurst Ave
Hawthorne, NY 105322140
Phone
8458036336
NPI
1154087047
Procedures
1
Total Claims
120
Patients Served
113
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 | $57.79 | 120 | 113 |
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