Based on public Medicaid payment data.
Antonio Sison Vicencio
Medicaid Provider in Palm Coast, FL
Type
Individual Provider
Address
21 Hospital Dr
Palm Coast, FL 321642452
Phone
3865863466
NPI
1457474728
Procedures
1
Total Claims
67
Patients Served
65
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 | $72.29 | 67 | 65 |
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