Based on public Medicaid payment data.
Fidencio Hernan Davalos
Medicaid Provider in Lake Charles, LA
Type
Individual Provider
Address
2770 3Rd Ave Ste 350
Lake Charles, LA 706010404
Phone
3374942750
NPI
1265872725
Procedures
6
Total Claims
5.9K
Patients Served
4.5K
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 |
|---|---|---|---|
| Office Visit | $40.83 | 2,533 | 2,183 |
| Pulmonary Function Test | $21.96 | 1,801 | 1,645 |
| Emergency Room Visit | $92.74 | 1,246 | 403 |
| Blood Work & Lab Tests | $5.13 | 141 | 118 |
| CT Scan (Computed Tomography) | $169.57 | 116 | 113 |
| X-Ray | $8.93 | 89 | 82 |
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