Based on public Medicaid payment data.
Edmundo Samuel Justino
Medicaid Provider in Prescott, AZ
Type
Individual Provider
Address
802 Ainsworth Dr Ste A
Prescott, AZ 863011623
Phone
9287715548
NPI
1720156136
Procedures
3
Total Claims
397
Patients Served
369
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 |
|---|---|---|---|
| Upper Endoscopy (EGD) | $87.09 | 278 | 265 |
| Colonoscopy | $151.48 | 68 | 57 |
| Office Visit | $55.29 | 51 | 47 |
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