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Based on public Medicaid payment data.

John Luke Pontolillo

Medicaid Provider in Bangor, ME

Type

Individual Provider

Address

489 State St

Bangor, ME 044016616

Phone

2077937000

NPI

1790170926

Procedures

5

Total Claims

3.7K

Patients Served

3.5K

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
X-Ray $5.02 2,327 2,135
CT Scan (Computed Tomography) $33.89 1,225 1,189
Ultrasound $14.78 85 83
Mammogram $16.90 56 55
MRI (Magnetic Resonance Imaging) $44.26 12 12

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