Based on public Medicaid payment data.
Damian Jerzy Domanski
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
1160 E 3900 S Ste 2000
Salt Lake City, UT 841241236
Phone
8012663418
NPI
1508012030
Procedures
4
Total Claims
9.5K
Patients Served
7.6K
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 |
|---|---|---|---|
| EKG / ECG (Electrocardiogram) | $12.18 | 3,259 | 2,694 |
| Office Visit | $42.73 | 2,982 | 2,694 |
| Echocardiogram | $70.47 | 2,272 | 1,532 |
| Cardiac Stress Test | $86.41 | 979 | 723 |
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