Based on public Medicaid payment data.
Jonathan Grant Mondragon
Medicaid Provider in Temple, TX
Type
Individual Provider
Address
2401 South 31St Street
Temple, TX 765080001
Phone
2547245815
NPI
1124523121
Procedures
5
Total Claims
5.4K
Patients Served
4.9K
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 | $146.13 | 3,659 | 3,283 |
| Blood Work & Lab Tests | $9.12 | 1,179 | 1,114 |
| EKG / ECG (Electrocardiogram) | $42.50 | 278 | 247 |
| Urinalysis & Urine Tests | $3.40 | 227 | 210 |
| X-Ray | $71.25 | 43 | 40 |
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