Based on public Medicaid payment data.
Jesse Allan Boutwell
Medicaid Provider in Bandera, TX
Type
Individual Provider
Address
1050 State Highway 16 S
Bandera, TX 780034830
Phone
8302610684
NPI
1912977117
Procedures
1
Total Claims
98
Patients Served
82
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 | $52.04 | 98 | 82 |
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