Based on public Medicaid payment data.
Jorge Mario Gomez Bustamante
Medicaid Provider in Riverview, FL
Type
Individual Provider
Address
10508 Gibsonton Dr
Riverview, FL 335785434
Phone
8552266633
NPI
1184133050
Procedures
1
Total Claims
36
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 |
|---|---|---|---|
| Office Visit | $4.61 | 36 | 31 |
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