Based on public Medicaid payment data.
Lisandro Montalvo
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
512A Calle Juan J Jimenez
San Juan, PR 009182605
Phone
7877644942
NPI
1881761195
Procedures
1
Total Claims
39
Patients Served
38
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 |
|---|---|---|---|
| Dialysis | $132.37 | 39 | 38 |
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