Based on public Medicaid payment data.
Keith Pensom
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
544 W Seminary Dr
Fort Worth, TX 761151360
Phone
8179247978
NPI
1689878761
Procedures
9
Total Claims
20.2K
Patients Served
19.1K
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 | $115.88 | 11,655 | 11,036 |
| Blood Work & Lab Tests | $9.24 | 3,847 | 3,568 |
| Urinalysis & Urine Tests | $7.99 | 1,421 | 1,363 |
| Culture & Microbiology Tests | $10.35 | 1,369 | 1,329 |
| X-Ray | $59.63 | 1,319 | 1,241 |
| EKG / ECG (Electrocardiogram) | $138.90 | 469 | 425 |
| CT Scan (Computed Tomography) | $620.25 | 55 | 52 |
| Pulmonary Function Test | $35.42 | 33 | 33 |
| Prescription Medications | $18.21 | 12 | 12 |
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