Based on public Medicaid payment data.
Robert Javier Dominguez
Medicaid Provider in Lancaster, OH
Type
Individual Provider
Address
784 E Main St
Lancaster, OH 431303983
Phone
7406870100
NPI
1619965472
Procedures
10
Total Claims
39.4K
Patients Served
36.1K
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 | $92.97 | 14,842 | 13,862 |
| Blood Work & Lab Tests | $3.60 | 12,262 | 11,016 |
| Urinalysis & Urine Tests | $0.10 | 4,681 | 4,306 |
| EKG / ECG (Electrocardiogram) | $2.32 | 4,209 | 3,825 |
| X-Ray | $0.46 | 2,076 | 1,899 |
| CT Scan (Computed Tomography) | $211.81 | 802 | 723 |
| Culture & Microbiology Tests | $0.27 | 239 | 219 |
| Pulmonary Function Test | $128.47 | 212 | 189 |
| Psychiatric Evaluation | $272.88 | 30 | 28 |
| Prescription Medications | $0.00 | 17 | 15 |
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