Based on public Medicaid payment data.
Sarah E Boulos
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
400 W 16Th St
Pueblo, CO 810032745
Phone
7195844306
NPI
1245590165
Procedures
7
Total Claims
9.4K
Patients Served
9K
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 | $79.42 | 4,811 | 4,645 |
| Blood Work & Lab Tests | $9.18 | 2,813 | 2,666 |
| Urinalysis & Urine Tests | $0.21 | 1,107 | 1,058 |
| EKG / ECG (Electrocardiogram) | $2.87 | 435 | 365 |
| X-Ray | $0.62 | 202 | 200 |
| CT Scan (Computed Tomography) | $122.18 | 38 | 37 |
| Prescription Medications | $0.00 | 13 | 13 |
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