Based on public Medicaid payment data.
Gwenita Roberts
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
3436 S Polk St
Dallas, TX 752243804
Phone
2143729200
NPI
1629093455
Procedures
7
Total Claims
28.2K
Patients Served
21K
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 |
|---|---|---|---|
| Vaccines & Immunizations | $7.17 | 10,918 | 5,453 |
| Office Visit | $31.28 | 10,801 | 9,761 |
| Urinalysis & Urine Tests | $2.60 | 5,345 | 4,842 |
| Hearing Test (Audiometry) | $6.63 | 455 | 405 |
| Pulmonary Function Test | $14.59 | 352 | 316 |
| EKG / ECG (Electrocardiogram) | $8.23 | 153 | 132 |
| Prescription Medications | $51.14 | 129 | 107 |
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