Based on public Medicaid payment data.
Susan E Gustafson
Medicaid Provider in Jamestown, NY
Type
Individual Provider
Address
21 Porter Ave
Jamestown, NY 147016247
Phone
7166641909
NPI
1417393927
Procedures
2
Total Claims
207
Patients Served
206
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $2.70 | 145 | 144 |
| Office Visit | $61.66 | 62 | 62 |
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