Based on public Medicaid payment data.
Grace Wielicki Couch
Medicaid Provider in Sumter, SC
Type
Individual Provider
Address
325 Broad St
Sumter, SC 291504167
Phone
8037735227
NPI
1821565334
Procedures
6
Total Claims
4.3K
Patients Served
4.1K
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 |
|---|---|---|---|
| Office Visit | $51.15 | 3,570 | 3,364 |
| Urinalysis & Urine Tests | $1.60 | 361 | 353 |
| Prescription Medications | $1.05 | 200 | 187 |
| Blood Work & Lab Tests | $3.69 | 92 | 89 |
| Culture & Microbiology Tests | $4.10 | 57 | 55 |
| X-Ray | $8.41 | 31 | 28 |
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