Based on public Medicaid payment data.
Ethan Jon Blackstone
Medicaid Provider in Bellevue, WA
Type
Individual Provider
Address
14216 Ne 21St St
Bellevue, WA 980073720
Phone
4256535000
NPI
1457823411
Procedures
2
Total Claims
209
Patients Served
113
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 |
|---|---|---|---|
| Psychiatric Evaluation | $0.00 | 108 | 70 |
| Substance Abuse Treatment | $0.00 | 101 | 43 |
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