Based on public Medicaid payment data.
Glen Mirandilla Jacob
Medicaid Provider in Largo, MD
Type
Individual Provider
Address
1221 Mercantile Lane
Largo, MD 207745374
Phone
3016185578
NPI
1780757062
Procedures
2
Total Claims
431
Patients Served
422
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 | $124.43 | 406 | 397 |
| Vaccines & Immunizations | $23.81 | 25 | 25 |
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