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Based on public Medicaid payment data.

Tae Won Kim

Medicaid Provider in Evanston, IL

Type

Individual Provider

Address

355 Ridge Ave

Evanston, IL 602023328

Phone

8473166101

NPI

1932148632

Procedures

2

Total Claims

571

Patients Served

496

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 $3.10 494 425
CT Scan (Computed Tomography) $40.26 77 71

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