Based on public Medicaid payment data.
Justine De La Rosa Decastro
Medicaid Provider in Mount Pleasant, SC
Type
Individual Provider
Address
246 Mathis Ferry Rd Ste 100
Mount Pleasant, SC 294642987
Phone
8439006742
NPI
1194936831
Procedures
2
Total Claims
1.5K
Patients Served
1.4K
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 |
|---|---|---|---|
| Nursing Facility Care | $49.61 | 1,506 | 1,388 |
| Office Visit | $51.34 | 19 | 17 |
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