Based on public Medicaid payment data.
Samantha Dieterich
Medicaid Provider in Round Rock, TX
Type
Individual Provider
Address
300 University Blvd
Round Rock, TX 786641032
Phone
5125090203
NPI
1043437940
Procedures
2
Total Claims
473
Patients Served
436
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 | $45.23 | 460 | 423 |
| Vaccines & Immunizations | $5.40 | 13 | 13 |
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