Based on public Medicaid payment data.
Nonna Datiashvili
Medicaid Provider in Staten Island, NY
Type
Individual Provider
Address
227 Koch Blvd
Staten Island, NY 103125416
Phone
7186057000
NPI
1326032673
Procedures
3
Total Claims
903
Patients Served
788
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $4.20 | 879 | 764 |
| Office Visit | $27.32 | 12 | 12 |
| EKG / ECG (Electrocardiogram) | $11.70 | 12 | 12 |
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