Based on public Medicaid payment data.
Samuel Thomas Boston
Medicaid Provider in Fort Wayne, IN
Type
Individual Provider
Address
11123 Parkview Plaza Dr Ste 200
Fort Wayne, IN 468451707
Phone
2604256100
NPI
1891130241
Procedures
2
Total Claims
825
Patients Served
736
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 |
|---|---|---|---|
| Office Visit | $105.89 | 686 | 616 |
| Upper Endoscopy (EGD) | $277.53 | 139 | 120 |
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