Based on public Medicaid payment data.
David Bolon
Medicaid Provider in New York, NY
Type
Individual Provider
Address
133 E 58Th St Ste 1402
New York, NY 100221236
Phone
6467050035
NPI
1033184205
Procedures
4
Total Claims
889
Patients Served
861
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 | $104.57 | 508 | 486 |
| EKG / ECG (Electrocardiogram) | $16.14 | 235 | 232 |
| Blood Work & Lab Tests | $1.63 | 133 | 130 |
| Vaccines & Immunizations | $14.69 | 13 | 13 |
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