Based on public Medicaid payment data.
Divine Savior Healthcare, Inc.
Medicaid Provider in Portage, WI
Type
Organization
Address
2817 New Pinery Rd
Portage, WI 539019240
Phone
6087424131
NPI
1124083894
Procedures
20
Total Claims
209.2K
Patients Served
159.6K
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $11.20 | 80,431 | 64,243 |
| Emergency Room Visit | $49.92 | 33,119 | 28,273 |
| Physical Therapy | $10.80 | 23,602 | 8,760 |
| Urinalysis & Urine Tests | $9.05 | 19,039 | 15,872 |
| X-Ray | $8.83 | 15,098 | 12,694 |
| EKG / ECG (Electrocardiogram) | $1.24 | 8,249 | 6,614 |
| Office Visit | $62.69 | 7,751 | 6,669 |
| CT Scan (Computed Tomography) | $53.54 | 4,897 | 4,215 |
| Culture & Microbiology Tests | $9.00 | 4,285 | 3,499 |
| Ambulance Transport | $29.16 | 2,996 | 2,068 |
| Prescription Medications | $0.01 | 2,690 | 1,827 |
| Speech Therapy | $14.67 | 1,757 | 496 |
| Pulmonary Function Test | $38.75 | 1,691 | 1,311 |
| Ultrasound | $40.21 | 1,459 | 1,227 |
| Pathology & Lab Services | $16.79 | 801 | 627 |
| Mammogram | $23.82 | 497 | 464 |
| Echocardiogram | $69.66 | 435 | 393 |
| Vaccines & Immunizations | $4.32 | 273 | 223 |
| Hearing Test (Audiometry) | $32.11 | 88 | 76 |
| MRI (Magnetic Resonance Imaging) | $43.89 | 14 | 14 |
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