Based on public Medicaid payment data.
Nydia Gricelle Deltoro Rivera
Medicaid Provider in Lake Wales, FL
Type
Individual Provider
Address
1120 Carlton Ave
Lake Wales, FL 338534348
Phone
8632704546
NPI
1679557912
Procedures
1
Total Claims
29
Patients Served
24
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 | $10.90 | 29 | 24 |
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