Based on public Medicaid payment data.
Josie Lopez
Medicaid Provider in Roma, TX
Type
Individual Provider
Address
640 E Bravo Blvd
Roma, TX 785845720
Phone
9568492176
NPI
1235374299
Procedures
3
Total Claims
67
Patients Served
44
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 |
|---|---|---|---|
| Vaccines & Immunizations | $3.33 | 40 | 18 |
| Office Visit | $0.00 | 15 | 14 |
| Culture & Microbiology Tests | $11.58 | 12 | 12 |
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