Based on public Medicaid payment data.
Samuel Thomas Selby
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
801 7Th Ave
Fort Worth, TX 761042733
Phone
6828854095
NPI
1114283652
Procedures
9
Total Claims
21K
Patients Served
20.5K
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 | $416.24 | 15,055 | 14,836 |
| Urinalysis & Urine Tests | $4.42 | 2,796 | 2,714 |
| Blood Work & Lab Tests | $10.16 | 2,169 | 1,993 |
| X-Ray | $43.89 | 757 | 743 |
| EKG / ECG (Electrocardiogram) | $199.03 | 124 | 118 |
| Ultrasound | $135.09 | 104 | 102 |
| Pulmonary Function Test | $245.99 | 14 | 13 |
| Culture & Microbiology Tests | $8.37 | 13 | 13 |
| CT Scan (Computed Tomography) | $123.66 | 12 | 12 |
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