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Based on public Medicaid payment data.

Kelee Sun Lou Peyton

Medicaid Provider in Council Bluffs, IA

Type

Individual Provider

Address

800 Mercy Dr

Council Bluffs, IA 515033128

Phone

7123285230

NPI

1700380383

Procedures

6

Total Claims

12K

Patients Served

11.2K

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 $130.33 7,428 6,997
Blood Work & Lab Tests $0.05 3,945 3,576
EKG / ECG (Electrocardiogram) $0.43 367 335
X-Ray $32.12 196 181
Urinalysis & Urine Tests $0.00 56 51
CT Scan (Computed Tomography) $212.70 29 28

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