Based on public Medicaid payment data.
Manntej S Sra
Medicaid Provider in Peoria, AZ
Type
Individual Provider
Address
13943 N 91St Ave
Peoria, AZ 853813629
Phone
6027051353
NPI
1053320770
Procedures
8
Total Claims
26.9K
Patients Served
25.2K
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 |
|---|---|---|---|
| X-Ray | $19.49 | 9,345 | 8,723 |
| Ultrasound | $62.50 | 8,250 | 7,766 |
| MRI (Magnetic Resonance Imaging) | $127.26 | 4,117 | 3,749 |
| Mammogram | $80.88 | 3,054 | 2,985 |
| CT Scan (Computed Tomography) | $104.15 | 1,172 | 1,075 |
| Bone Density Scan (DEXA) | $17.09 | 977 | 927 |
| Cardiac Stress Test | $158.01 | 14 | 12 |
| EKG / ECG (Electrocardiogram) | $24.00 | 14 | 12 |
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