Based on public Medicaid payment data.
Denise Alejandra Lopez Domowicz
Medicaid Provider in Columbia, MO
Type
Individual Provider
Address
1021 Hitt St
Columbia, MO 652120001
Phone
5738822272
NPI
1326308966
Procedures
1
Total Claims
33
Patients Served
14
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 | $186.16 | 33 | 14 |
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