Based on public Medicaid payment data.
Tristan Emil Gonzalez Sanz
Medicaid Provider in Winston Salem, NC
Type
Individual Provider
Address
115 Hanestown Ct
Winston Salem, NC 27103
Phone
3367659350
NPI
1427315779
Procedures
3
Total Claims
119
Patients Served
101
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 |
|---|---|---|---|
| Ultrasound | $72.60 | 63 | 57 |
| Office Visit | $41.08 | 40 | 29 |
| Vaccines & Immunizations | $12.92 | 16 | 15 |
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