Based on public Medicaid payment data.
Dacia Russell Goman
Medicaid Provider in Springfield, OH
Type
Individual Provider
Address
100 Medical Center Dr
Springfield, OH 455042687
Phone
9375231000
NPI
1093100331
Procedures
8
Total Claims
21.9K
Patients Served
20.2K
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 | $98.73 | 10,577 | 10,040 |
| Blood Work & Lab Tests | $4.53 | 7,814 | 6,863 |
| Urinalysis & Urine Tests | $0.66 | 1,379 | 1,303 |
| EKG / ECG (Electrocardiogram) | $1.94 | 917 | 852 |
| X-Ray | $5.81 | 831 | 793 |
| CT Scan (Computed Tomography) | $211.05 | 280 | 257 |
| Pulmonary Function Test | $151.84 | 30 | 24 |
| Prescription Medications | $0.90 | 26 | 26 |
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