Based on public Medicaid payment data.
De Tan
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
2725 Capitol Ave Dept 300
Sacramento, CA 958166006
Phone
9162629370
NPI
1851384044
Procedures
4
Total Claims
226
Patients Served
185
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 |
|---|---|---|---|
| Pathology & Lab Services | $21.20 | 106 | 65 |
| Upper Endoscopy (EGD) | $109.11 | 55 | 55 |
| Colonoscopy | $319.45 | 48 | 48 |
| Office Visit | $44.36 | 17 | 17 |
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