Based on public Medicaid payment data.
Jorge Martin Espana
Medicaid Provider in Port Chester, NY
Type
Individual Provider
Address
5 Grace Church St
Port Chester, NY 105734911
Phone
9149378899
NPI
1811254469
Procedures
4
Total Claims
7.3K
Patients Served
5.2K
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 | $85.82 | 6,592 | 4,480 |
| Blood Work & Lab Tests | $5.20 | 537 | 511 |
| Vaccines & Immunizations | $7.21 | 150 | 150 |
| Psychiatric Evaluation | $113.60 | 63 | 62 |
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