Based on public Medicaid payment data.
Timothy Ross Diestelkamp
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
4302 E Whitton Ave
Phoenix, AZ 850185944
Phone
2516806451
NPI
1861998635
Procedures
2
Total Claims
91
Patients Served
86
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 | $5.93 | 49 | 45 |
| CT Scan (Computed Tomography) | $56.47 | 42 | 41 |
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