Based on public Medicaid payment data.
David Mortin Gontrum
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
4745 S 3200 W
Salt Lake City, UT 841182822
Phone
8019646214
NPI
1922084813
Procedures
3
Total Claims
21.3K
Patients Served
19.9K
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 |
|---|---|---|---|
| Vaccines & Immunizations | $1.40 | 15,105 | 14,275 |
| Office Visit | $74.40 | 3,886 | 3,650 |
| Blood Work & Lab Tests | $1.85 | 2,293 | 1,988 |
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