Based on public Medicaid payment data.
Jerry Wayne Polasek
Medicaid Provider in Houston, TX
Type
Individual Provider
Address
1 Baylor Plz
Houston, TX 770303411
Phone
2812175119
NPI
1043487911
Procedures
2
Total Claims
617
Patients Served
598
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 |
|---|---|---|---|
| CT Scan (Computed Tomography) | $11.36 | 605 | 586 |
| X-Ray | $5.12 | 12 | 12 |
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