Based on public Medicaid payment data.
Edward Wallace Johnson
Medicaid Provider in Bossier City, LA
Type
Individual Provider
Address
2703 Beene Blvd
Bossier City, LA 711115491
Phone
3186814515
NPI
1285073890
Procedures
1
Total Claims
17
Patients Served
14
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 | $43.19 | 17 | 14 |
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