Based on public Medicaid payment data.
Thomas E Van Der Kloot
Medicaid Provider in South Portland, ME
Type
Individual Provider
Address
100 Foden Road
South Portland, ME 04106
Phone
2078281122
NPI
1720190044
Procedures
3
Total Claims
184
Patients Served
125
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 | $84.24 | 97 | 40 |
| Pulmonary Function Test | $4.28 | 51 | 50 |
| Office Visit | $24.81 | 36 | 35 |
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