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Based on public Medicaid payment data.

Maisie Jacquez

Medicaid Provider in Bloomfield, NM

Type

Individual Provider

Address

2508 E Blanco Blvd

Bloomfield, NM 874137404

Phone

5052101029

NPI

1437774312

Procedures

1

Total Claims

770

Patients Served

495

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 $74.59 770 495

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