Based on public Medicaid payment data.
Liezl Tersol Domingo
Medicaid Provider in Augusta, GA
Type
Individual Provider
Address
1120 15Th St
Augusta, GA 309127232
Phone
7067218623
NPI
1871880849
Procedures
3
Total Claims
183
Patients Served
149
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 |
|---|---|---|---|
| EKG / ECG (Electrocardiogram) | $6.05 | 136 | 124 |
| Emergency Room Visit | $203.65 | 34 | 13 |
| Echocardiogram | $43.06 | 13 | 12 |
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