Based on public Medicaid payment data.
Stacey Gwen Johnson
Medicaid Provider in Columbia, MO
Type
Individual Provider
Address
402 N Keene St
Columbia, MO 652016986
Phone
5734996084
NPI
1700316270
Procedures
2
Total Claims
26
Patients Served
25
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 |
|---|---|---|---|
| Vaccines & Immunizations | $13.44 | 14 | 13 |
| Office Visit | $58.51 | 12 | 12 |
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