Based on public Medicaid payment data.
Jack Zepeda
Medicaid Provider in Fort Smith, AR
Type
Individual Provider
Address
1301 S E St
Fort Smith, AR 729014716
Phone
4797852431
NPI
1184192510
Procedures
7
Total Claims
5.6K
Patients Served
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 |
|---|---|---|---|
| Emergency Room Visit | $78.88 | 4,135 | 3,745 |
| Blood Work & Lab Tests | $0.50 | 802 | 724 |
| Urinalysis & Urine Tests | $0.20 | 408 | 370 |
| Prescription Medications | $0.00 | 102 | 97 |
| X-Ray | $1.07 | 79 | 71 |
| Office Visit | $7.77 | 20 | 18 |
| CT Scan (Computed Tomography) | $316.68 | 13 | 12 |
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