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Based on public Medicaid payment data.

Jessie Bautista Pita

Medicaid Provider in Staten Island, NY

Type

Individual Provider

Address

235 Port Richmond Ave

Staten Island, NY 103021701

Phone

7188761732

NPI

1023136413

Procedures

6

Total Claims

17.5K

Patients Served

13.3K

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 $116.17 10,110 5,978
Vaccines & Immunizations $7.87 3,746 3,719
Blood Work & Lab Tests $0.00 2,210 2,188
Hearing Test (Audiometry) $4.89 1,189 1,186
Urinalysis & Urine Tests $0.00 219 219
Culture & Microbiology Tests $0.00 32 31

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