Based on public Medicaid payment data.
Dominick Ruybal
Medicaid Provider in Montezuma Creek, UT
Type
Individual Provider
Address
1478 East Highway 162
Montezuma Creek, UT 845340130
Phone
4356513700
NPI
1811428048
Procedures
4
Total Claims
1.2K
Patients Served
1.2K
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 | $423.72 | 870 | 799 |
| Blood Work & Lab Tests | $10.13 | 256 | 254 |
| Vaccines & Immunizations | $12.59 | 105 | 103 |
| Emergency Room Visit | $45.91 | 14 | 13 |
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