Based on public Medicaid payment data.
Jeremy Theisen
Medicaid Provider in Ponca City, OK
Type
Individual Provider
Address
1900 N 14Th St
Ponca City, OK 746012035
Phone
5807650575
NPI
1881954501
Procedures
5
Total Claims
11.1K
Patients Served
10.1K
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 |
|---|---|---|---|
| X-Ray | $6.96 | 7,459 | 6,577 |
| Ultrasound | $37.89 | 2,131 | 2,073 |
| CT Scan (Computed Tomography) | $51.95 | 1,240 | 1,211 |
| Mammogram | $31.29 | 223 | 223 |
| MRI (Magnetic Resonance Imaging) | $57.34 | 27 | 27 |
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