Based on public Medicaid payment data.
Dale W Sponaugle
Medicaid Provider in Medina, NY
Type
Individual Provider
Address
200 Ohio St
Medina, NY 141031063
Phone
5857988054
NPI
1023018462
Procedures
4
Total Claims
8K
Patients Served
7.9K
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 | $6.27 | 6,739 | 6,643 |
| Mammogram | $29.77 | 618 | 618 |
| CT Scan (Computed Tomography) | $35.88 | 457 | 444 |
| Ultrasound | $19.90 | 184 | 183 |
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