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Based on public Medicaid payment data.

Don L Custodio

Medicaid Provider in Stevens Point, WI

Type

Individual Provider

Address

4100 State Highway 66

Stevens Point, WI 544828410

Phone

7153437700

NPI

1316152598

Procedures

6

Total Claims

2.9K

Patients Served

2.5K

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 $117.44 1,256 1,104
Blood Work & Lab Tests $0.00 1,121 960
EKG / ECG (Electrocardiogram) $1.46 387 326
X-Ray $0.00 47 41
Urinalysis & Urine Tests $0.00 30 28
CT Scan (Computed Tomography) $0.00 15 15

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