Based on public Medicaid payment data.
Idalissie Altagracia Peguero
Medicaid Provider in Newark, NJ
Type
Individual Provider
Address
550 Broad St Ste 606
Newark, NJ 071024537
Phone
2018221161
NPI
1689154437
Procedures
7
Total Claims
8.6K
Patients Served
6.6K
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 | $43.35 | 7,222 | 5,425 |
| Psychiatric Evaluation | $150.23 | 475 | 324 |
| Vaccines & Immunizations | $15.33 | 305 | 301 |
| Blood Work & Lab Tests | $2.61 | 283 | 256 |
| Prescription Medications | $0.92 | 243 | 202 |
| Urinalysis & Urine Tests | $1.69 | 30 | 30 |
| EKG / ECG (Electrocardiogram) | $9.26 | 14 | 13 |
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