Based on public Medicaid payment data.
Ivan Jose Cuesta Isabel
Medicaid Provider in Park Ridge, IL
Type
Individual Provider
Address
1775 Dempster St Ste Aip
Park Ridge, IL 600681143
Phone
8477236790
NPI
1851775860
Procedures
1
Total Claims
38
Patients Served
12
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 |
|---|---|---|---|
| Emergency Room Visit | $130.66 | 38 | 12 |
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