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Based on public Medicaid payment data.

William James Tom

Medicaid Provider in Dallas, TX

Type

Individual Provider

Address

5323 Harry Hines Blvd

Dallas, TX 753907201

Phone

2146483928

NPI

1093127680

Procedures

2

Total Claims

610

Patients Served

578

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
CT Scan (Computed Tomography) $27.59 571 540
MRI (Magnetic Resonance Imaging) $68.50 39 38

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