Based on public Medicaid payment data.
Jason R Pericak
Medicaid Provider in Williamsville, NY
Type
Individual Provider
Address
111 N Maplemere Rd Ste 120
Williamsville, NY 142213178
Phone
7168364646
NPI
1689823411
Procedures
4
Total Claims
4.5K
Patients Served
4.4K
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 |
|---|---|---|---|
| X-Ray | $8.73 | 1,765 | 1,681 |
| Ultrasound | $90.39 | 1,292 | 1,289 |
| Mammogram | $77.31 | 1,224 | 1,223 |
| CT Scan (Computed Tomography) | $89.85 | 184 | 184 |
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