Based on public Medicaid payment data.
Elizabeth Demos Nicholson
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
5121 S. Cottonwood Street
Salt Lake City, UT 84157
Phone
8012692500
NPI
1245262229
Procedures
3
Total Claims
497
Patients Served
445
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 |
|---|---|---|---|
| Emergency Room Visit | $95.19 | 414 | 373 |
| Blood Work & Lab Tests | $0.57 | 45 | 41 |
| EKG / ECG (Electrocardiogram) | $0.00 | 38 | 31 |
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