Based on public Medicaid payment data.
Kalugotla N Shivaram
Medicaid Provider in Wentzville, MO
Type
Individual Provider
Address
1111 W Pearce Blvd
Wentzville, MO 633851020
Phone
6368874288
NPI
1619959137
Procedures
6
Total Claims
7.3K
Patients Served
7K
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 | $97.39 | 3,521 | 3,420 |
| Blood Work & Lab Tests | $36.19 | 2,191 | 2,100 |
| EKG / ECG (Electrocardiogram) | $50.45 | 508 | 482 |
| Office Visit | $56.06 | 477 | 459 |
| Urinalysis & Urine Tests | $56.44 | 340 | 322 |
| X-Ray | $29.23 | 226 | 214 |
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