Based on public Medicaid payment data.
Andrzej Dmowski
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
1300 N 12Th St
Phoenix, AZ 850062848
Phone
6022396968
NPI
1518960996
Procedures
9
Total Claims
8.1K
Patients Served
7.1K
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 | $113.07 | 4,760 | 4,272 |
| Blood Work & Lab Tests | $0.02 | 1,768 | 1,486 |
| Urinalysis & Urine Tests | $0.00 | 761 | 669 |
| EKG / ECG (Electrocardiogram) | $3.51 | 324 | 272 |
| X-Ray | $2.57 | 276 | 248 |
| CT Scan (Computed Tomography) | $193.62 | 61 | 52 |
| Prescription Medications | $0.00 | 44 | 39 |
| Pulmonary Function Test | $0.00 | 37 | 33 |
| Culture & Microbiology Tests | $0.00 | 36 | 24 |
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