Based on public Medicaid payment data.
Jonathan Backstrom, Llc
Medicaid Provider in Davenport, IA
Type
Organization
Address
2625 W 36Th St
Davenport, IA 528065224
Phone
5636505863
NPI
1356932073
Procedures
1
Total Claims
12
Patients Served
12
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 |
|---|---|---|---|
| Psychiatric Evaluation | $0.00 | 12 | 12 |
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