Based on public Medicaid payment data.
Stanislav Nickolaevich Tolkachjov
Medicaid Provider in Lewisville, TX
Type
Individual Provider
Address
1640 Fm 544 Ste 100
Lewisville, TX 750567013
Phone
9723951101
NPI
1952662868
Procedures
1
Total Claims
139
Patients Served
138
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 | $81.75 | 139 | 138 |
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