Based on public Medicaid payment data.
Noelle Reyes Lafitte
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
111 Dallas St
San Antonio, TX 782051201
Phone
2102977780
NPI
1205367992
Procedures
2
Total Claims
394
Patients Served
358
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 |
|---|---|---|---|
| X-Ray | $6.00 | 354 | 319 |
| CT Scan (Computed Tomography) | $64.02 | 40 | 39 |
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