Based on public Medicaid payment data.
Jessica Denisse Portillos
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
1800 E Van Buren St
Phoenix, AZ 850063742
Phone
6022518359
NPI
1295227155
Procedures
1
Total Claims
126
Patients Served
82
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 |
|---|---|---|---|
| Anesthesia Services | $89.95 | 126 | 82 |
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