Based on public Medicaid payment data.
Kellya Annisa Ubokudom
Medicaid Provider in Ann Arbor, MI
Type
Individual Provider
Address
1500 E Medical Center Dr
Ann Arbor, MI 481095000
Phone
7349364000
NPI
1104213164
Procedures
6
Total Claims
903
Patients Served
893
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 | $92.49 | 806 | 799 |
| Blood Work & Lab Tests | $1.23 | 30 | 29 |
| Urinalysis & Urine Tests | $0.00 | 26 | 26 |
| Prescription Medications | $0.00 | 15 | 13 |
| Pulmonary Function Test | $260.94 | 13 | 13 |
| X-Ray | $15.47 | 13 | 13 |
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