Based on public Medicaid payment data.
Samuel Ayite Locoh-Donou
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
1701 N Senate Blvd
Indianapolis, IN 462021239
Phone
3179625975
NPI
1558700831
Procedures
7
Total Claims
22.8K
Patients Served
19.4K
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 | $109.10 | 10,648 | 9,401 |
| Blood Work & Lab Tests | $3.46 | 7,591 | 6,160 |
| EKG / ECG (Electrocardiogram) | $17.61 | 2,833 | 2,519 |
| Prescription Medications | $0.00 | 603 | 462 |
| CT Scan (Computed Tomography) | $302.06 | 580 | 447 |
| Urinalysis & Urine Tests | $2.53 | 508 | 429 |
| X-Ray | $37.38 | 30 | 24 |
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