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Based on public Medicaid payment data.

Maryana Liedke

Medicaid Provider in Port Jefferson Station, NY

Type

Individual Provider

Address

1010 Route 112 Ste 300

Port Jefferson Station, NY 117763386

Phone

6313649119

NPI

1386987956

Procedures

1

Total Claims

511

Patients Served

480

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 $52.54 511 480

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