Based on public Medicaid payment data.
Kyle David Montgomery
Medicaid Provider in Phila, PA
Type
Individual Provider
Address
2317 E Westmoreland St
Phila, PA 191344529
Phone
2159263115
NPI
1679559223
Procedures
2
Total Claims
2.4K
Patients Served
2.2K
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 | $18.03 | 2,348 | 2,197 |
| Vaccines & Immunizations | $15.80 | 29 | 29 |
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