Based on public Medicaid payment data.
Daniel Nobrega Da Costa
Medicaid Provider in Houston, TX
Type
Individual Provider
Address
1515 Holcombe Blvd
Houston, TX 770304000
Phone
7137926161
NPI
1285912725
Procedures
3
Total Claims
158
Patients Served
129
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 | $2.60 | 116 | 88 |
| CT Scan (Computed Tomography) | $60.31 | 30 | 29 |
| MRI (Magnetic Resonance Imaging) | $86.18 | 12 | 12 |
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