Based on public Medicaid payment data.
John R Fontanilla
Medicaid Provider in Philadelphia, PA
Type
Individual Provider
Address
4453 Castor Ave
Philadelphia, PA 191243846
Phone
2157442266
NPI
1669688412
Procedures
3
Total Claims
156
Patients Served
144
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $0.01 | 128 | 117 |
| Dialysis | $0.00 | 16 | 15 |
| Office Visit | $36.64 | 12 | 12 |
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