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Based on public Medicaid payment data.

Mukta Gautam-Dhakal

Medicaid Provider in Reston, VA

Type

Individual Provider

Address

12359 Sunrise Valley Dr Ste 320

Reston, VA 201913463

Phone

7035964796

NPI

1275034837

Procedures

2

Total Claims

31

Patients Served

31

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
EKG / ECG (Electrocardiogram) $5.14 18 18
Office Visit $36.31 13 13

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