Based on public Medicaid payment data.
Donna Jane Long
Medicaid Provider in Fayetteville, AR
Type
Individual Provider
Address
375 N Rupple Rd
Fayetteville, AR 727046110
Phone
4797180200
NPI
1578930715
Procedures
2
Total Claims
26
Patients Served
25
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 |
|---|---|---|---|
| Vaccines & Immunizations | $0.00 | 14 | 13 |
| Office Visit | $45.07 | 12 | 12 |
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