Based on public Medicaid payment data.
Maribel Montano
Medicaid Provider in Houston, TX
Type
Individual Provider
Address
5402 Airline Dr
Houston, TX 770764902
Phone
7132391572
NPI
1821500497
Procedures
4
Total Claims
7.7K
Patients Served
6.2K
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 | $40.00 | 5,382 | 4,678 |
| Vaccines & Immunizations | $9.01 | 1,930 | 1,165 |
| Urinalysis & Urine Tests | $1.71 | 414 | 374 |
| Hearing Test (Audiometry) | $0.00 | 18 | 17 |
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