Based on public Medicaid payment data.
Chauntel Joyce Ditommaso
Medicaid Provider in Hugo, OK
Type
Individual Provider
Address
1201 E Jackson St
Hugo, OK 747434229
Phone
5803266423
NPI
1184098246
Procedures
7
Total Claims
11K
Patients Served
10K
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 | $73.09 | 3,747 | 3,153 |
| Office Visit | $92.69 | 3,502 | 3,202 |
| Blood Work & Lab Tests | $8.99 | 1,997 | 1,929 |
| Nursing Facility Care | $47.48 | 816 | 811 |
| X-Ray | $20.32 | 557 | 545 |
| Urinalysis & Urine Tests | $5.04 | 329 | 322 |
| CT Scan (Computed Tomography) | $56.20 | 26 | 26 |
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