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Based on public Medicaid payment data.

Ebony Jackson

Medicaid Provider in Cleveland, OH

Type

Individual Provider

Address

4754 E 175Th St

Cleveland, OH 441283932

Phone

2168563107

NPI

1356678197

Procedures

2

Total Claims

27

Patients Served

27

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
EKG / ECG (Electrocardiogram) $0.00 14 14
Office Visit $22.31 13 13

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