Based on public Medicaid payment data.
David P Wiebe
Medicaid Provider in Boulder, CO
Type
Individual Provider
Address
3922 Promontory Ct
Boulder, CO 803041054
Phone
7202556037
NPI
1053385351
Procedures
7
Total Claims
17.2K
Patients Served
14.9K
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 | $87.72 | 9,054 | 7,822 |
| Blood Work & Lab Tests | $13.00 | 6,147 | 5,297 |
| EKG / ECG (Electrocardiogram) | $1.52 | 1,351 | 1,155 |
| Urinalysis & Urine Tests | $0.45 | 331 | 303 |
| X-Ray | $1.11 | 265 | 229 |
| Psychiatric Evaluation | $285.77 | 64 | 49 |
| CT Scan (Computed Tomography) | $75.60 | 26 | 13 |
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