Based on public Medicaid payment data.
Elmer C San Pedro
Medicaid Provider in South Boston, VA
Type
Individual Provider
Address
2204 Wilborn Ave
South Boston, VA 245921645
Phone
4345173187
NPI
1174532535
Procedures
4
Total Claims
19.4K
Patients Served
14.5K
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 | $4.26 | 15,252 | 11,155 |
| CT Scan (Computed Tomography) | $27.45 | 2,706 | 2,120 |
| Mammogram | $24.86 | 1,029 | 889 |
| Ultrasound | $18.82 | 377 | 323 |
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