Based on public Medicaid payment data.
Tracie Diane Leveridge
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
5616 Lone Star Pkwy
San Antonio, TX 782532200
Phone
2102815066
NPI
1053980565
Procedures
3
Total Claims
500
Patients Served
431
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 | $37.34 | 445 | 379 |
| Blood Work & Lab Tests | $5.01 | 42 | 39 |
| Ultrasound | $65.68 | 13 | 13 |
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