Based on public Medicaid payment data.
George Damon Gantsoudes
Medicaid Provider in Vienna, VA
Type
Individual Provider
Address
410 Maple Ave W Ste 5
Vienna, VA 221804224
Phone
6462409444
NPI
1013173004
Procedures
2
Total Claims
5.3K
Patients Served
5K
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 | $69.61 | 5,252 | 4,890 |
| X-Ray | $24.50 | 77 | 65 |
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