Based on public Medicaid payment data.
Theresa Domers
Medicaid Provider in Spartanburg, SC
Type
Individual Provider
Address
172 W Woodglen Rd
Spartanburg, SC 293015305
Phone
8642788542
NPI
1831160191
Procedures
6
Total Claims
16.3K
Patients Served
15.4K
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 | $76.41 | 10,946 | 10,320 |
| Blood Work & Lab Tests | $4.43 | 3,521 | 3,329 |
| Urinalysis & Urine Tests | $0.38 | 1,252 | 1,219 |
| EKG / ECG (Electrocardiogram) | $10.60 | 461 | 434 |
| X-Ray | $15.44 | 101 | 96 |
| Prescription Medications | $0.18 | 12 | 12 |
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