Based on public Medicaid payment data.
Benjamin David Lemoine
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
530 Ne Glen Oak Ave
Peoria, IL 616370001
Phone
3096552000
NPI
1497071872
Procedures
3
Total Claims
19.9K
Patients Served
17.8K
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 | $7.51 | 14,765 | 12,950 |
| CT Scan (Computed Tomography) | $45.75 | 4,397 | 4,123 |
| Ultrasound | $26.38 | 781 | 764 |
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