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Based on public Medicaid payment data.

Dominic Derenge

Medicaid Provider in Philadelphia, PA

Type

Individual Provider

Address

4417 N 6Th St

Philadelphia, PA 191402319

Phone

2153026000

NPI

1033598339

Procedures

3

Total Claims

5.4K

Patients Served

5K

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 $0.06 4,845 4,475
Vaccines & Immunizations $0.63 548 527
Blood Work & Lab Tests $0.00 12 12

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