Based on public Medicaid payment data.
Ida Moore
Medicaid Provider in Edmond, OK
Type
Individual Provider
Address
16224 Everglade Ln
Edmond, OK 730131259
Phone
4056094307
NPI
1801362983
Procedures
2
Total Claims
221
Patients Served
73
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 |
|---|---|---|---|
| Substance Abuse Treatment | $44.76 | 146 | 46 |
| Psychiatric Evaluation | $49.54 | 75 | 27 |
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