Based on public Medicaid payment data.
Jesse Frank Delacruz
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
21103 Simi Valley Drive
San Antonio, TX 78259
Phone
3613313940
NPI
1699121871
Procedures
2
Total Claims
913
Patients Served
874
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 | $31.07 | 898 | 859 |
| Emergency Room Visit | $19.55 | 15 | 15 |
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