Based on public Medicaid payment data.
Thomas Jerry Ibach
Medicaid Provider in Eden Prairie, MN
Type
Individual Provider
Address
7595 Anagram Dr
Eden Prairie, MN 553447399
Phone
6125732200
NPI
1538116595
Procedures
5
Total Claims
1.1K
Patients Served
1K
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 |
|---|---|---|---|
| X-Ray | $6.06 | 733 | 664 |
| CT Scan (Computed Tomography) | $39.78 | 320 | 302 |
| Ultrasound | $20.60 | 30 | 28 |
| Bone Density Scan (DEXA) | $23.47 | 19 | 13 |
| Mammogram | $24.51 | 14 | 13 |
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