Based on public Medicaid payment data.
Jerome Charles Lietz
Medicaid Provider in Crest Hill, IL
Type
Individual Provider
Address
1701 N Larkin Ave
Crest Hill, IL 60403
Phone
8157411140
NPI
1609968650
Procedures
1
Total Claims
227
Patients Served
227
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 |
|---|---|---|---|
| Eye Exam | $45.00 | 227 | 227 |
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