Based on public Medicaid payment data.
Ted M. Roth
Medicaid Provider in South Bend, IN
Type
Individual Provider
Address
621 Memorial Dr Ste 302
South Bend, IN 466011073
Phone
5743673800
NPI
1174503866
Procedures
2
Total Claims
444
Patients Served
393
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 |
|---|---|---|---|
| Office Visit | $84.81 | 409 | 369 |
| Urinalysis & Urine Tests | $2.02 | 35 | 24 |
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