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Based on public Medicaid payment data.

Gladys Helena Lopez

Medicaid Provider in Sedona, AZ

Type

Individual Provider

Address

3700 W State Route 89A

Sedona, AZ 863364937

Phone

9282044100

NPI

1336117589

Procedures

9

Total Claims

23.6K

Patients Served

19.4K

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 $89.08 10,317 8,709
Blood Work & Lab Tests $4.52 5,992 4,826
EKG / ECG (Electrocardiogram) $19.19 3,174 2,516
Urinalysis & Urine Tests $2.56 3,130 2,579
X-Ray $85.14 816 652
CT Scan (Computed Tomography) $119.04 74 53
Pulmonary Function Test $4.55 34 12
Culture & Microbiology Tests $3.29 32 27
Prescription Medications $0.00 15 13

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