Based on public Medicaid payment data.
Fernando Rafael Medina Carbonell
Medicaid Provider in Saint Louis, MO
Type
Individual Provider
Address
1465 S Grand Blvd
Saint Louis, MO 631041003
Phone
3142684010
NPI
1467747659
Procedures
3
Total Claims
342
Patients Served
316
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 | $76.68 | 277 | 263 |
| Pathology & Lab Services | $143.29 | 34 | 25 |
| Upper Endoscopy (EGD) | $715.98 | 31 | 28 |
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