Based on public Medicaid payment data.
Javier Bonilla
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
4502 Medical Dr
San Antonio, TX 782294402
Phone
2103582015
NPI
1689060642
Procedures
2
Total Claims
73
Patients Served
73
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 |
|---|---|---|---|
| Circumcision | $73.62 | 55 | 55 |
| Emergency Room Visit | $58.12 | 18 | 18 |
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