Based on public Medicaid payment data.
Kevin M Small
Medicaid Provider in South Bend, IN
Type
Individual Provider
Address
621 Memorial Dr Ste 312
South Bend, IN 466011073
Phone
5746475200
NPI
1689669715
Procedures
2
Total Claims
732
Patients Served
629
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 |
|---|---|---|---|
| X-Ray | $4.62 | 391 | 339 |
| CT Scan (Computed Tomography) | $41.15 | 341 | 290 |
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