Based on public Medicaid payment data.
Si Woo An
Medicaid Provider in Rock Tavern, NY
Type
Individual Provider
Address
3 Wild Turkey Ln
Rock Tavern, NY 125755419
Phone
2013648465
NPI
1356063341
Procedures
1
Total Claims
12
Patients Served
12
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 |
|---|---|---|---|
| Emergency Room Visit | $45.02 | 12 | 12 |
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