Based on public Medicaid payment data.
Juan Illesca
Medicaid Provider in Sterling, VA
Type
Individual Provider
Address
22054 Shaw Rd
Sterling, VA 201649321
Phone
5712689858
NPI
1447606991
Procedures
1
Total Claims
985
Patients Served
41
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 |
|---|---|---|---|
| Non-Emergency Medical Transportation | $5.46 | 985 | 41 |
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