Based on public Medicaid payment data.
Gautam Datta
Medicaid Provider in Saint Louis, MO
Type
Individual Provider
Address
763 S New Ballas Rd
Saint Louis, MO 631418704
Phone
3148434333
NPI
1568688414
Procedures
2
Total Claims
128
Patients Served
108
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 | $78.73 | 97 | 88 |
| Psychiatric Evaluation | $60.25 | 31 | 20 |
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