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Based on public Medicaid payment data.

Stephen Goth

Medicaid Provider in Peoria, IL

Type

Individual Provider

Address

530 Ne Glen Oak Ave

Peoria, IL 616373522

Phone

3096552000

NPI

1285999334

Procedures

5

Total Claims

13.2K

Patients Served

11.7K

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 $6.46 10,745 9,388
CT Scan (Computed Tomography) $52.81 1,339 1,258
Ultrasound $25.58 941 866
MRI (Magnetic Resonance Imaging) $123.85 185 171
Mammogram $27.32 21 14

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