Based on public Medicaid payment data.
Ashley Tennyson
Medicaid Provider in Fairfax, VA
Type
Individual Provider
Address
12255 Fair Lakes Pkwy
Fairfax, VA 220333952
Phone
7033597878
NPI
1811283385
Procedures
2
Total Claims
406
Patients Served
393
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 | $130.77 | 239 | 227 |
| Vaccines & Immunizations | $24.19 | 167 | 166 |
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