Based on public Medicaid payment data.
Samuel Grossman
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
400 W 16Th St
Pueblo, CO 810032745
Phone
7195844306
NPI
1518499177
Procedures
7
Total Claims
9.5K
Patients Served
8K
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 | $113.93 | 4,805 | 4,197 |
| Blood Work & Lab Tests | $1.08 | 3,465 | 2,798 |
| Urinalysis & Urine Tests | $0.03 | 559 | 478 |
| EKG / ECG (Electrocardiogram) | $0.54 | 382 | 303 |
| X-Ray | $0.98 | 160 | 131 |
| CT Scan (Computed Tomography) | $150.85 | 100 | 79 |
| Prescription Medications | $0.00 | 13 | 12 |
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