Based on public Medicaid payment data.
Raffi Djevalikian
Medicaid Provider in Henryetta, OK
Type
Individual Provider
Address
Dewey Bartlett & Main
Henryetta, OK 74437
Phone
9186501301
NPI
1992749121
Procedures
6
Total Claims
20.9K
Patients Served
20.6K
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 |
|---|---|---|---|
| Emergency Room Visit | $98.10 | 15,455 | 15,344 |
| EKG / ECG (Electrocardiogram) | $9.34 | 2,927 | 2,818 |
| Blood Work & Lab Tests | $8.46 | 2,233 | 2,138 |
| X-Ray | $9.93 | 198 | 193 |
| Urinalysis & Urine Tests | $2.93 | 51 | 51 |
| CT Scan (Computed Tomography) | $185.23 | 17 | 17 |
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