Based on public Medicaid payment data.
Timothy Jerum Clark
Medicaid Provider in Staten Island, NY
Type
Individual Provider
Address
246 Hart Ave
Staten Island, NY 103103022
Phone
3473068981
NPI
1518492008
Procedures
3
Total Claims
758
Patients Served
754
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 | $12.60 | 691 | 688 |
| Office Visit | $8.92 | 40 | 40 |
| Ultrasound | $37.88 | 27 | 26 |
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