Based on public Medicaid payment data.
Mousumi Som
Medicaid Provider in Tulsa, OK
Type
Individual Provider
Address
717 S Houston Ave Ste 304
Tulsa, OK 741279023
Phone
9183825064
NPI
1730350034
Procedures
5
Total Claims
664
Patients Served
601
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 | $267.02 | 261 | 253 |
| Office Visit | $154.94 | 189 | 188 |
| Blood Work & Lab Tests | $4.63 | 150 | 106 |
| EKG / ECG (Electrocardiogram) | $6.58 | 50 | 41 |
| X-Ray | $14.59 | 14 | 13 |
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