Based on public Medicaid payment data.
Jesus Manuel Matos
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
718 Lexington Ave Ste 102
San Antonio, TX 782124790
Phone
2104208671
NPI
1568650091
Procedures
2
Total Claims
56
Patients Served
55
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 | $4.95 | 37 | 37 |
| Ultrasound | $3.34 | 19 | 18 |
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