Based on public Medicaid payment data.
Andrew Boulos
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
1600 N Grand Ave Ste 140
Pueblo, CO 810032755
Phone
7195641542
NPI
1689010100
Procedures
3
Total Claims
755
Patients Served
326
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 | $144.25 | 627 | 217 |
| Office Visit | $45.31 | 88 | 72 |
| Pulmonary Function Test | $22.89 | 40 | 37 |
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