Based on public Medicaid payment data.
Maria De Lourdes Portela Martinez
Medicaid Provider in Washington, DC
Type
Individual Provider
Address
3020 14Th St Nw
Washington, DC 200096865
Phone
2027454300
NPI
1447578539
Procedures
2
Total Claims
590
Patients Served
563
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 | $79.92 | 574 | 549 |
| Vaccines & Immunizations | $13.62 | 16 | 14 |
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