Based on public Medicaid payment data.
Mica K Johnese
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
3737 Goldman St
Dallas, TX 752122471
Phone
2142660900
NPI
1093218299
Procedures
6
Total Claims
8.4K
Patients Served
6.8K
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 | $46.17 | 6,399 | 5,164 |
| Urinalysis & Urine Tests | $12.89 | 1,026 | 798 |
| Blood Work & Lab Tests | $11.99 | 510 | 465 |
| Vaccines & Immunizations | $25.74 | 267 | 251 |
| Ultrasound | $171.21 | 120 | 119 |
| Pathology & Lab Services | $26.42 | 34 | 26 |
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