Based on public Medicaid payment data.
Ariana Lewis
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
4502 Medical Dr
San Antonio, TX 782294402
Phone
2103583582
NPI
1386178374
Procedures
6
Total Claims
1.1K
Patients Served
1K
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 | $42.74 | 439 | 380 |
| Urinalysis & Urine Tests | $4.58 | 367 | 318 |
| Blood Work & Lab Tests | $12.44 | 156 | 138 |
| Emergency Room Visit | $840.60 | 131 | 127 |
| Pregnancy & Prenatal Care | $516.14 | 28 | 26 |
| Ultrasound | $130.53 | 25 | 24 |
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