Based on public Medicaid payment data.
Thomas James Simon
Medicaid Provider in Evanston, WY
Type
Individual Provider
Address
150 Arrowhead Dr
Evanston, WY 829309266
Phone
3077890524
NPI
1609883453
Procedures
2
Total Claims
80
Patients Served
78
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 |
|---|---|---|---|
| Nursing Facility Care | $34.78 | 67 | 66 |
| Office Visit | $55.75 | 13 | 12 |
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