Based on public Medicaid payment data.
Juan Gustavo Polo
Medicaid Provider in Louisville, KY
Type
Individual Provider
Address
234 E Gray St
Louisville, KY 402021900
Phone
5026294525
NPI
1952399669
Procedures
4
Total Claims
18.3K
Patients Served
16.5K
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 | $43.83 | 10,028 | 9,166 |
| Blood Work & Lab Tests | $4.56 | 5,343 | 4,784 |
| Vaccines & Immunizations | $27.46 | 2,948 | 2,512 |
| Urinalysis & Urine Tests | $1.24 | 12 | 12 |
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