Based on public Medicaid payment data.
Sara Blakely Montoya
Medicaid Provider in Summerville, SC
Type
Individual Provider
Address
507 N Laurel St
Summerville, SC 294836558
Phone
8438750600
NPI
1205893690
Procedures
4
Total Claims
2.1K
Patients Served
1.9K
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 | $56.22 | 1,952 | 1,714 |
| Urinalysis & Urine Tests | $1.49 | 102 | 95 |
| Blood Work & Lab Tests | $2.27 | 44 | 41 |
| Vaccines & Immunizations | $11.34 | 13 | 12 |
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