Based on public Medicaid payment data.
Sherryl J. Tomboulian
Medicaid Provider in Sisseton, SD
Type
Individual Provider
Address
205 Orchard Dr
Sisseton, SD 572622312
Phone
6056987681
NPI
1003847971
Procedures
4
Total Claims
614
Patients Served
490
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $94.80 | 444 | 332 |
| Culture & Microbiology Tests | $4.90 | 71 | 66 |
| Office Visit | $873.46 | 67 | 62 |
| Emergency Room Visit | $31.43 | 32 | 30 |
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