Based on public Medicaid payment data.
Jayme Kenna Montgomery
Medicaid Provider in Broken Arrow, OK
Type
Individual Provider
Address
705 W Oakland St
Broken Arrow, OK 740121656
Phone
9182512666
NPI
1518525849
Procedures
4
Total Claims
2.1K
Patients Served
2K
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 | $85.34 | 1,617 | 1,554 |
| Vaccines & Immunizations | $21.88 | 225 | 224 |
| Blood Work & Lab Tests | $7.23 | 204 | 198 |
| Urinalysis & Urine Tests | $3.58 | 13 | 13 |
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