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Based on public Medicaid payment data.

Dary Jonathan Costa

Medicaid Provider in Louisville, KY

Type

Individual Provider

Address

411 E Chestnut St # Level6

Louisville, KY 402021713

Phone

5025889587

NPI

1184826273

Procedures

3

Total Claims

739

Patients Served

710

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 $48.18 509 491
Hearing Test (Audiometry) $28.03 200 192
Tonsillectomy $209.41 30 27

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