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Based on public Medicaid payment data.

Lisa Boule'

Medicaid Provider in Staten Island, NY

Type

Individual Provider

Address

2066 Richmond Avenue

Staten Island, NY 103143916

Phone

7189829001

NPI

1437353273

Procedures

5

Total Claims

1.9K

Patients Served

1.7K

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 $105.00 1,413 1,205
Vaccines & Immunizations $46.21 321 316
Blood Work & Lab Tests $3.03 138 135
Urinalysis & Urine Tests $0.00 42 41
Hearing Test (Audiometry) $5.84 13 13

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