Based on public Medicaid payment data.
Kevin J Folchert
Medicaid Provider in South Sioux City, NE
Type
Individual Provider
Address
3250 Plaza Dr
South Sioux City, NE 687763144
Phone
4024124220
NPI
1124093695
Procedures
10
Total Claims
41K
Patients Served
38.5K
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 |
|---|---|---|---|
| Emergency Room Visit | $139.81 | 17,574 | 16,863 |
| Blood Work & Lab Tests | $0.44 | 11,446 | 10,433 |
| Office Visit | $19.49 | 6,639 | 6,285 |
| Urinalysis & Urine Tests | $0.01 | 2,335 | 2,175 |
| X-Ray | $61.90 | 1,266 | 1,207 |
| EKG / ECG (Electrocardiogram) | $0.00 | 789 | 692 |
| Prescription Medications | $1.46 | 746 | 673 |
| Pulmonary Function Test | $1.40 | 118 | 112 |
| CT Scan (Computed Tomography) | $186.96 | 38 | 38 |
| Culture & Microbiology Tests | $0.00 | 32 | 27 |
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