Based on public Medicaid payment data.
Gustavo Sanroman
Medicaid Provider in Port Jefferson Station, NY
Type
Individual Provider
Address
5225 Route 347
Port Jefferson Station, NY 117762053
Phone
8006453203
NPI
1619917960
Procedures
4
Total Claims
2.7K
Patients Served
2.5K
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 |
|---|---|---|---|
| Ultrasound | $142.66 | 1,088 | 1,020 |
| Urinalysis & Urine Tests | $3.00 | 932 | 855 |
| Office Visit | $100.67 | 392 | 374 |
| Blood Work & Lab Tests | $2.55 | 293 | 268 |
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