Based on public Medicaid payment data.
Dorian M Lopez-Bracetty
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
311 Ave Domenech
San Juan, PR 009183511
Phone
7877582525
NPI
1184848210
Procedures
2
Total Claims
250
Patients Served
215
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 |
|---|---|---|---|
| Prescription Medications | $1.75 | 157 | 135 |
| Office Visit | $38.55 | 93 | 80 |
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