Based on public Medicaid payment data.
Ronnie Daniel Mantilla
Medicaid Provider in Lumberton, NC
Type
Individual Provider
Address
4760 Independence Dr
Lumberton, NC 283582328
Phone
9107389414
NPI
1164785549
Procedures
4
Total Claims
1.6K
Patients Served
1.2K
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 |
|---|---|---|---|
| Pulmonary Function Test | $25.51 | 634 | 610 |
| Office Visit | $43.45 | 489 | 418 |
| Emergency Room Visit | $93.50 | 470 | 195 |
| Blood Work & Lab Tests | $9.55 | 15 | 14 |
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