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Based on public Medicaid payment data.

Michael Licata

Medicaid Provider in Buffalo, NY

Type

Individual Provider

Address

2157 Main St

Buffalo, NY 142142648

Phone

7166499000

NPI

1306814579

Procedures

5

Total Claims

11.7K

Patients Served

11.5K

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 $6.75 5,748 5,545
CT Scan (Computed Tomography) $49.95 4,181 4,147
Ultrasound $29.02 1,668 1,660
Mammogram $33.81 113 112
Cardiac Stress Test $57.31 12 12

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