Based on public Medicaid payment data.
Samantha Polites
Medicaid Provider in Edmond, OK
Type
Individual Provider
Address
1700 S Boulevard Ste B
Edmond, OK 730135174
Phone
4052159151
NPI
1750048286
Procedures
1
Total Claims
37
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 |
|---|---|---|---|
| Substance Abuse Treatment | $68.52 | 37 | 12 |
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