Based on public Medicaid payment data.
Vicente Separa Ramo
Medicaid Provider in Honolulu, HI
Type
Individual Provider
Address
634 Kalihi St
Honolulu, HI 968194000
Phone
8088417288
NPI
1770536443
Procedures
4
Total Claims
15.2K
Patients Served
12.9K
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 | $53.19 | 10,928 | 9,269 |
| Blood Work & Lab Tests | $3.62 | 3,825 | 3,252 |
| EKG / ECG (Electrocardiogram) | $11.64 | 256 | 237 |
| Vaccines & Immunizations | $10.42 | 178 | 164 |
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