Based on public Medicaid payment data.
Otar Datiashvili
Medicaid Provider in Bloomington, IN
Type
Individual Provider
Address
2651 E Discovery Pkwy
Bloomington, IN 474089059
Phone
8123539515
NPI
1083096572
Procedures
7
Total Claims
1.9K
Patients Served
1.7K
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 | $82.86 | 1,183 | 1,139 |
| Blood Work & Lab Tests | $10.17 | 345 | 162 |
| Office Visit | $130.60 | 280 | 277 |
| EKG / ECG (Electrocardiogram) | $25.24 | 57 | 54 |
| X-Ray | $157.15 | 33 | 29 |
| Urinalysis & Urine Tests | $4.19 | 31 | 29 |
| CT Scan (Computed Tomography) | $446.46 | 20 | 19 |
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