Based on public Medicaid payment data.
Vassilios Boulougouris
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
118 Calle Eleonor Roosevelt
San Juan, PR 009183105
Phone
7877651915
NPI
1659496347
Procedures
1
Total Claims
130
Patients Served
130
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 |
|---|---|---|---|
| Eye Exam | $0.00 | 130 | 130 |
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