Based on public Medicaid payment data.
Wessam Boutros Bou-Assaly
Medicaid Provider in Ann Arbor, MI
Type
Individual Provider
Address
2155 Fuller Rd
Ann Arbor, MI 48105
Phone
7347617959
NPI
1851581540
Procedures
3
Total Claims
1K
Patients Served
1K
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 |
|---|---|---|---|
| CT Scan (Computed Tomography) | $41.96 | 542 | 534 |
| X-Ray | $5.77 | 464 | 456 |
| Ultrasound | $15.58 | 12 | 12 |
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