Based on public Medicaid payment data.
Theophilus E Owan
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
100 Mario Capecchi Dr
Salt Lake City, UT 841131103
Phone
8016625400
NPI
1982682647
Procedures
2
Total Claims
925
Patients Served
749
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) | $4.68 | 909 | 734 |
| Echocardiogram | $27.79 | 16 | 15 |
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