Based on public Medicaid payment data.
Shane Dennis Dieckman
Medicaid Provider in Offutt Afb, NE
Type
Individual Provider
Address
2501 Capehart Rd
Offutt Afb, NE 681131043
Phone
4022942448
NPI
1487647368
Procedures
6
Total Claims
8.2K
Patients Served
7.6K
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 | $11.60 | 5,296 | 4,869 |
| CT Scan (Computed Tomography) | $71.70 | 1,626 | 1,536 |
| MRI (Magnetic Resonance Imaging) | $55.19 | 798 | 737 |
| Mammogram | $29.38 | 266 | 254 |
| Ultrasound | $26.23 | 166 | 159 |
| Bone Density Scan (DEXA) | $6.17 | 69 | 63 |
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