Based on public Medicaid payment data.
Vanessa Crystal Costilla
Medicaid Provider in Lubbock, TX
Type
Individual Provider
Address
4309 102Nd St
Lubbock, TX 79423
Phone
8067610747
NPI
1952629065
Procedures
2
Total Claims
152
Patients Served
137
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 |
|---|---|---|---|
| Upper Endoscopy (EGD) | $200.22 | 126 | 123 |
| Pathology & Lab Services | $8.37 | 26 | 14 |
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