Based on public Medicaid payment data.
Theodore Noble Smith
Medicaid Provider in Ankeny, IA
Type
Individual Provider
Address
350 Ne 36Th St
Ankeny, IA 500216728
Phone
5152241414
NPI
1255333704
Procedures
7
Total Claims
4.4K
Patients Served
3.9K
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 |
|---|---|---|---|
| Emergency Room Visit | $126.47 | 2,757 | 2,373 |
| Blood Work & Lab Tests | $3.45 | 1,388 | 1,237 |
| Office Visit | $38.43 | 99 | 93 |
| Urinalysis & Urine Tests | $4.02 | 90 | 89 |
| EKG / ECG (Electrocardiogram) | $1.63 | 32 | 25 |
| CT Scan (Computed Tomography) | $176.84 | 24 | 24 |
| X-Ray | $63.96 | 20 | 16 |
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