Based on public Medicaid payment data.
Viviana Salom Ellis
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
4458 Medical Center Drive
San Antonio, TX 78229
Phone
2106141000
NPI
1023463981
Procedures
4
Total Claims
5.2K
Patients Served
4.2K
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 | $34.83 | 4,139 | 3,137 |
| Urinalysis & Urine Tests | $5.08 | 857 | 817 |
| Pregnancy & Prenatal Care | $74.28 | 128 | 112 |
| Ultrasound | $83.53 | 121 | 114 |
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