Based on public Medicaid payment data.
Robert Jake Moulton
Medicaid Provider in Kansas City, MO
Type
Individual Provider
Address
2301 Holmes St
Kansas City, MO 641082640
Phone
8162356627
NPI
1326626920
Procedures
5
Total Claims
865
Patients Served
844
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 | $158.03 | 557 | 548 |
| Blood Work & Lab Tests | $4.04 | 242 | 232 |
| EKG / ECG (Electrocardiogram) | $29.52 | 39 | 37 |
| X-Ray | $21.51 | 15 | 15 |
| Urinalysis & Urine Tests | $4.99 | 12 | 12 |
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