Based on public Medicaid payment data.
Leticia Perondi Luz
Medicaid Provider in St Louis Park, MN
Type
Individual Provider
Address
6500 Excelsior Blvd
St Louis Park, MN 554264702
Phone
9529932750
NPI
1770619967
Procedures
2
Total Claims
371
Patients Served
316
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 |
|---|---|---|---|
| Pathology & Lab Services | $12.73 | 347 | 292 |
| Upper Endoscopy (EGD) | $66.10 | 24 | 24 |
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