Based on public Medicaid payment data.
Nicolau N Dacosta
Medicaid Provider in Lebanon, PA
Type
Individual Provider
Address
252 S 4Th St
Lebanon, PA 170426111
Phone
7172707688
NPI
1083622369
Procedures
5
Total Claims
8K
Patients Served
7.8K
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 | $111.70 | 4,647 | 4,516 |
| Blood Work & Lab Tests | $2.87 | 2,370 | 2,311 |
| Urinalysis & Urine Tests | $1.43 | 606 | 586 |
| EKG / ECG (Electrocardiogram) | $4.05 | 302 | 296 |
| X-Ray | $4.19 | 51 | 51 |
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