Based on public Medicaid payment data.
Irene Dmitruk
Medicaid Provider in Saint John, IN
Type
Individual Provider
Address
9660 Wicker Ave
Saint John, IN 463739487
Phone
2193651177
NPI
1861703399
Procedures
8
Total Claims
40.4K
Patients Served
34.6K
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 | $3.72 | 15,021 | 12,481 |
| Emergency Room Visit | $109.59 | 14,862 | 13,105 |
| Urinalysis & Urine Tests | $3.12 | 4,865 | 4,175 |
| X-Ray | $125.43 | 2,589 | 2,247 |
| EKG / ECG (Electrocardiogram) | $58.49 | 2,464 | 2,036 |
| CT Scan (Computed Tomography) | $191.17 | 447 | 377 |
| Pulmonary Function Test | $12.83 | 140 | 116 |
| Prescription Medications | $0.00 | 15 | 15 |
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