Based on public Medicaid payment data.
John R. Sandoval
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
1008 Minnequa Ave
Pueblo, CO 810043733
Phone
7195574221
NPI
1881664670
Procedures
3
Total Claims
631
Patients Served
494
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 | $16.86 | 273 | 202 |
| EKG / ECG (Electrocardiogram) | $38.63 | 271 | 206 |
| X-Ray | $82.44 | 87 | 86 |
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