Based on public Medicaid payment data.
Steven Domiano
Medicaid Provider in Evergreen, IL
Type
Individual Provider
Address
2800 W 95Th St
Evergreen, IL 60805
Phone
7082295104
NPI
1578582532
Procedures
5
Total Claims
11.6K
Patients Served
10.5K
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 | $4.99 | 7,594 | 6,620 |
| CT Scan (Computed Tomography) | $56.67 | 3,227 | 3,084 |
| Ultrasound | $29.15 | 610 | 587 |
| Mammogram | $22.45 | 186 | 175 |
| Cardiac Stress Test | $22.49 | 12 | 12 |
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