Based on public Medicaid payment data.
Claudia R Mondragon
Medicaid Provider in Tripler Army Medical Center, HI
Type
Individual Provider
Address
1 Jarrett White Rd
Tripler Army Medical Center, HI 968595001
Phone
7062886323
NPI
1386938256
Procedures
2
Total Claims
724
Patients Served
704
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 | $8.88 | 643 | 623 |
| Blood Work & Lab Tests | $0.00 | 81 | 81 |
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