Based on public Medicaid payment data.
Dylan Boyd Soderstrum
Medicaid Provider in Charlottesville, VA
Type
Individual Provider
Address
1215 Lee St
Charlottesville, VA 229080816
Phone
4349248485
NPI
1720664188
Procedures
4
Total Claims
919
Patients Served
854
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 | $93.32 | 592 | 539 |
| Blood Work & Lab Tests | $5.84 | 271 | 259 |
| Urinalysis & Urine Tests | $4.60 | 43 | 43 |
| EKG / ECG (Electrocardiogram) | $24.60 | 13 | 13 |
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