Based on public Medicaid payment data.
Mary Ann Santos Pefanco
Medicaid Provider in Hilo, HI
Type
Individual Provider
Address
1178B Kinoole St
Hilo, HI 967204133
Phone
8089691427
NPI
1780769703
Procedures
1
Total Claims
67
Patients Served
63
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 | $11.14 | 67 | 63 |
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