Based on public Medicaid payment data.
Mandana Davani
Medicaid Provider in Saint Augustine, FL
Type
Individual Provider
Address
400 Health Park Blvd
Saint Augustine, FL 320865784
Phone
9048194398
NPI
1003883885
Procedures
2
Total Claims
683
Patients Served
550
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 |
|---|---|---|---|
| CT Scan (Computed Tomography) | $13.14 | 422 | 341 |
| X-Ray | $4.86 | 261 | 209 |
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