Based on public Medicaid payment data.
Stanley Idiculla
Medicaid Provider in Herndon, VA
Type
Individual Provider
Address
112 Elden St
Herndon, VA 201704874
Phone
7034375353
NPI
1043274368
Procedures
2
Total Claims
1.2K
Patients Served
1K
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 | $50.09 | 1,218 | 1,004 |
| X-Ray | $24.86 | 22 | 12 |
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