Based on public Medicaid payment data.
Derrick Durell Wagoner
Medicaid Provider in Edmond, OK
Type
Individual Provider
Address
1800 Renaissance Blvd Ste 110
Edmond, OK 73013
Phone
4056012325
NPI
1760829220
Procedures
3
Total Claims
1.9K
Patients Served
1.8K
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 | $8.37 | 1,318 | 1,284 |
| CT Scan (Computed Tomography) | $54.88 | 525 | 516 |
| Ultrasound | $25.59 | 12 | 12 |
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