Based on public Medicaid payment data.
Theodore Bryan Gupton
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
815 Pennsylvania Ave
Fort Worth, TX 761042224
Phone
8173210404
NPI
1790019347
Procedures
3
Total Claims
4K
Patients Served
3.6K
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 | $5.32 | 3,422 | 3,113 |
| CT Scan (Computed Tomography) | $25.60 | 535 | 473 |
| Ultrasound | $27.26 | 14 | 14 |
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