Based on public Medicaid payment data.
Peter Ray Martin
Medicaid Provider in South Bend, IN
Type
Individual Provider
Address
715 Park Ave
South Bend, IN 466161337
Phone
5745364151
NPI
1104357490
Procedures
7
Total Claims
12.8K
Patients Served
11.2K
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 | $127.59 | 6,830 | 6,074 |
| Blood Work & Lab Tests | $4.49 | 3,609 | 3,056 |
| EKG / ECG (Electrocardiogram) | $23.84 | 883 | 773 |
| Urinalysis & Urine Tests | $2.37 | 840 | 742 |
| X-Ray | $148.59 | 564 | 490 |
| CT Scan (Computed Tomography) | $487.44 | 13 | 12 |
| Pulmonary Function Test | $16.56 | 12 | 12 |
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