Based on public Medicaid payment data.
Amanda Bustamante Provencio
Medicaid Provider in Las Cruces, NM
Type
Individual Provider
Address
1240 S Telshor Blvd Ste A
Las Cruces, NM 880114731
Phone
5752593638
NPI
1558855650
Procedures
4
Total Claims
2.1K
Patients Served
2.1K
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 | $78.86 | 1,533 | 1,477 |
| Blood Work & Lab Tests | $5.80 | 450 | 440 |
| Vaccines & Immunizations | $26.01 | 132 | 128 |
| Urinalysis & Urine Tests | $0.83 | 13 | 13 |
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