Based on public Medicaid payment data.
Yadira Santiago Banuelos
Medicaid Provider in Monon, IN
Type
Individual Provider
Address
629 E Broadway St
Monon, IN 46923
Phone
8777972404
NPI
1336624501
Procedures
3
Total Claims
546
Patients Served
422
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 | $49.73 | 404 | 325 |
| Vaccines & Immunizations | $10.25 | 124 | 81 |
| Urinalysis & Urine Tests | $0.34 | 18 | 16 |
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