Based on public Medicaid payment data.
Fabricio Guimaraes Goncalves
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
1701 N Senate Blvd
Indianapolis, IN 462021239
Phone
3179626793
NPI
1114639242
Procedures
2
Total Claims
2K
Patients Served
1.8K
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 |
|---|---|---|---|
| MRI (Magnetic Resonance Imaging) | $234.24 | 1,528 | 1,393 |
| CT Scan (Computed Tomography) | $56.89 | 493 | 448 |
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