Based on public Medicaid payment data.
Mario Oliver Tablante Godoy
Medicaid Provider in Las Vegas, NV
Type
Individual Provider
Address
1706 W Bonanza Rd
Las Vegas, NV 891064704
Phone
7026316860
NPI
1275822611
Procedures
7
Total Claims
9.2K
Patients Served
7.5K
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 | $38.66 | 5,581 | 4,302 |
| Prescription Medications | $4.52 | 1,461 | 1,241 |
| Pulmonary Function Test | $25.38 | 1,208 | 1,130 |
| Allergy Testing | $187.58 | 774 | 653 |
| Urinalysis & Urine Tests | $1.84 | 111 | 103 |
| X-Ray | $13.40 | 18 | 16 |
| Vaccines & Immunizations | $20.33 | 14 | 14 |
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