Based on public Medicaid payment data.
Jennifer Mariko Izumi Divine
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
1701 N Senate Blvd # Ag012
Indianapolis, IN 462021239
Phone
3179623525
NPI
1588127468
Procedures
8
Total Claims
35.1K
Patients Served
30.1K
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 | $145.51 | 13,105 | 11,593 |
| Blood Work & Lab Tests | $4.86 | 12,147 | 10,190 |
| Urinalysis & Urine Tests | $4.40 | 3,940 | 3,263 |
| EKG / ECG (Electrocardiogram) | $49.22 | 3,860 | 3,275 |
| CT Scan (Computed Tomography) | $336.73 | 1,193 | 963 |
| X-Ray | $174.11 | 803 | 699 |
| Culture & Microbiology Tests | $4.44 | 66 | 56 |
| Pulmonary Function Test | $16.56 | 15 | 12 |
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