Based on public Medicaid payment data.
Thomas Michael Pelant
Medicaid Provider in Rice Lake, WI
Type
Individual Provider
Address
1024 N Main St
Rice Lake, WI 548680028
Phone
7152348151
NPI
1134297559
Procedures
2
Total Claims
454
Patients Served
415
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 |
|---|---|---|---|
| X-Ray | $4.74 | 427 | 390 |
| CT Scan (Computed Tomography) | $37.01 | 27 | 25 |
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