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Based on public Medicaid payment data.

Samantha Marie Ledonne

Medicaid Provider in New York, NY

Type

Individual Provider

Address

1 Gustave L Levy Pl

New York, NY 100296504

Phone

2128248069

NPI

1710428032

Procedures

6

Total Claims

6.4K

Patients Served

5.1K

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
Blood Work & Lab Tests $6.41 2,302 1,960
Emergency Room Visit $79.48 1,833 1,405
EKG / ECG (Electrocardiogram) $4.77 1,686 1,231
Urinalysis & Urine Tests $3.10 419 366
X-Ray $37.49 156 140
CT Scan (Computed Tomography) $154.62 12 12

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