Based on public Medicaid payment data.
Hollis Tidmore
Medicaid Provider in Houston, MO
Type
Individual Provider
Address
1422 S Sam Houston Blvd
Houston, MO 654832130
Phone
4179671252
NPI
1962473975
Procedures
4
Total Claims
624
Patients Served
492
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $23.15 | 352 | 261 |
| Office Visit | $45.00 | 210 | 179 |
| EKG / ECG (Electrocardiogram) | $16.92 | 47 | 38 |
| X-Ray | $11.11 | 15 | 14 |
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