Based on public Medicaid payment data.
Stacey Renee Gouzenne
Medicaid Provider in Charlotte, NC
Type
Individual Provider
Address
4221 Tuckaseegee Rd
Charlotte, NC 282082801
Phone
7048069865
NPI
1588616569
Procedures
8
Total Claims
37.1K
Patients Served
35.3K
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 |
|---|---|---|---|
| Office Visit | $82.26 | 30,223 | 28,766 |
| Urinalysis & Urine Tests | $3.39 | 4,575 | 4,394 |
| X-Ray | $20.40 | 1,246 | 1,167 |
| Pulmonary Function Test | $8.90 | 462 | 447 |
| Vaccines & Immunizations | $6.06 | 361 | 250 |
| Blood Work & Lab Tests | $3.81 | 115 | 111 |
| EKG / ECG (Electrocardiogram) | $14.64 | 99 | 97 |
| Prescription Medications | $1.60 | 66 | 60 |
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