Based on public Medicaid payment data.
Jerome Taymon Domzalski
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
530 Ne Glen Oak Ave
Peoria, IL 616374748
Phone
3096552000
NPI
1952539280
Procedures
3
Total Claims
6.4K
Patients Served
5.9K
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 | $4.32 | 4,175 | 3,831 |
| CT Scan (Computed Tomography) | $44.39 | 2,054 | 1,927 |
| Ultrasound | $26.39 | 147 | 144 |
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