Based on public Medicaid payment data.
Jessica Marie Montemayor
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
2316 Se Military Dr
San Antonio, TX 782233527
Phone
2108177004
NPI
1750037255
Procedures
5
Total Claims
10.9K
Patients Served
8.1K
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 |
|---|---|---|---|
| Vaccines & Immunizations | $7.20 | 7,143 | 4,563 |
| Office Visit | $39.14 | 3,503 | 3,289 |
| Blood Work & Lab Tests | $6.29 | 146 | 141 |
| Hearing Test (Audiometry) | $0.01 | 97 | 97 |
| Urinalysis & Urine Tests | $1.98 | 12 | 12 |
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