Based on public Medicaid payment data.
Edward Rainier Gamboa Santos
Medicaid Provider in Plymouth, MN
Type
Individual Provider
Address
15700 37Th Ave N Ste 150
Plymouth, MN 554463675
Phone
6519685201
NPI
1659474773
Procedures
1
Total Claims
50
Patients Served
43
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 | $48.35 | 50 | 43 |
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