Based on public Medicaid payment data.
Jonathon Dominique Medina
Medicaid Provider in Cheyenne, WY
Type
Individual Provider
Address
1950 Bluegrass Cir Ste 200
Cheyenne, WY 820097364
Phone
3077782577
NPI
1942219803
Procedures
3
Total Claims
2K
Patients Served
1.7K
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 | $26.70 | 1,916 | 1,700 |
| Blood Work & Lab Tests | $7.18 | 24 | 24 |
| Vaccines & Immunizations | $4.08 | 14 | 14 |
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