Based on public Medicaid payment data.
Felix Roberto Shardonofsky
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
333 N Santa Rosa St
San Antonio, TX 782073108
Phone
2107044708
NPI
1225097546
Procedures
5
Total Claims
4.5K
Patients Served
4.3K
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 | $58.24 | 2,924 | 2,831 |
| Blood Work & Lab Tests | $6.72 | 902 | 811 |
| Pulmonary Function Test | $81.62 | 473 | 451 |
| X-Ray | $62.00 | 197 | 176 |
| Vaccines & Immunizations | $0.20 | 30 | 24 |
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