Based on public Medicaid payment data.
Dana Boucek
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
100 North Mario Capecchi Dr.
Salt Lake City, UT 84113
Phone
8016625700
NPI
1154612117
Procedures
2
Total Claims
42
Patients Served
41
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) | $3.72 | 29 | 29 |
| Office Visit | $120.68 | 13 | 12 |
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