Based on public Medicaid payment data.
Mario Miranda
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
221 Ne Glen Oak Ave
Peoria, IL 616034307
Phone
3096725522
NPI
1376505420
Procedures
7
Total Claims
11.7K
Patients Served
9.8K
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 |
|---|---|---|---|
| Emergency Room Visit | $95.91 | 7,767 | 6,711 |
| Blood Work & Lab Tests | $6.17 | 2,742 | 2,132 |
| X-Ray | $145.03 | 486 | 399 |
| Urinalysis & Urine Tests | $2.19 | 485 | 379 |
| CT Scan (Computed Tomography) | $183.24 | 142 | 96 |
| EKG / ECG (Electrocardiogram) | $63.69 | 69 | 42 |
| Prescription Medications | $0.00 | 51 | 37 |
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