Based on public Medicaid payment data.
Ina Hysko
Medicaid Provider in Philadelphia, PA
Type
Individual Provider
Address
9815 Roosevelt Blvd
Philadelphia, PA 191141035
Phone
2159694917
NPI
1578141719
Procedures
3
Total Claims
88
Patients Served
83
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 | $13.84 | 36 | 35 |
| Vaccines & Immunizations | $18.14 | 32 | 29 |
| Hearing Test (Audiometry) | $0.72 | 20 | 19 |
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