Based on public Medicaid payment data.
Samantha Lynn Kostelac
Medicaid Provider in Kansas City, MO
Type
Individual Provider
Address
4400 Broadway Blvd Ste 520
Kansas City, MO 641113342
Phone
8169607600
NPI
1730718867
Procedures
1
Total Claims
12
Patients Served
12
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 | $103.96 | 12 | 12 |
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