Based on public Medicaid payment data.
Momba Pharmacy Services Llc
Medicaid Provider in Pittsburgh, PA
Type
Organization
Address
1435 Spring Garden Ave
Pittsburgh, PA 152123711
Phone
4123231801
NPI
1386041655
Procedures
2
Total Claims
29
Patients Served
26
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 | $17.88 | 16 | 13 |
| Vaccines & Immunizations | $11.15 | 13 | 13 |
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