Based on public Medicaid payment data.
Giddel G A Thom
Medicaid Provider in Portales, NM
Type
Individual Provider
Address
1515 W Fir St
Portales, NM 881305703
Phone
5753566695
NPI
1700078375
Procedures
3
Total Claims
462
Patients Served
442
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 | $148.05 | 220 | 202 |
| Vaccines & Immunizations | $3.23 | 208 | 208 |
| Blood Work & Lab Tests | $5.04 | 34 | 32 |
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