Based on public Medicaid payment data.
Paul Koutras
Medicaid Provider in Keene, NH
Type
Individual Provider
Address
580 Court St
Keene, NH 034311715
Phone
6033546580
NPI
1952367278
Procedures
6
Total Claims
9.9K
Patients Served
7.5K
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 |
|---|---|---|---|
| X-Ray | $3.65 | 6,902 | 5,139 |
| CT Scan (Computed Tomography) | $22.80 | 2,760 | 2,170 |
| Mammogram | $27.98 | 114 | 104 |
| Blood Work & Lab Tests | $3.81 | 81 | 81 |
| Ultrasound | $24.99 | 24 | 24 |
| MRI (Magnetic Resonance Imaging) | $52.59 | 16 | 13 |
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