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Based on public Medicaid payment data.

Daniel Jack Sudrzynski

Medicaid Provider in Peoria, IL

Type

Individual Provider

Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone

3096557768

NPI

1538666201

Procedures

2

Total Claims

205

Patients Served

167

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 $2.35 193 155
CT Scan (Computed Tomography) $30.71 12 12

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