Based on public Medicaid payment data.
Super Farmacia Lizette, Inc
Medicaid Provider in Jayuya, PR
Type
Organization
Address
103Gmo Esteves St
Jayuya, PR 00664
Phone
7878280755
NPI
1679506125
Procedures
1
Total Claims
80
Patients Served
80
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 |
|---|---|---|---|
| Vaccines & Immunizations | $45.35 | 80 | 80 |
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