Based on public Medicaid payment data.
Matthew Koeberl
Medicaid Provider in Manitowoc, WI
Type
Individual Provider
Address
2300 Western Ave
Manitowoc, WI 54220
Phone
9203203800
NPI
1396975165
Procedures
4
Total Claims
2.9K
Patients Served
2.3K
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 | $4.47 | 2,720 | 2,134 |
| CT Scan (Computed Tomography) | $29.21 | 123 | 108 |
| Mammogram | $15.82 | 24 | 15 |
| Ultrasound | $19.10 | 13 | 12 |
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