Based on public Medicaid payment data.
Juan C Pallares
Medicaid Provider in Fort Defiance, AZ
Type
Individual Provider
Address
Corner Route N12 And N7
Fort Defiance, AZ 86504
Phone
9287298000
NPI
1578544987
Procedures
2
Total Claims
180
Patients Served
153
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 |
|---|---|---|---|
| X-Ray | $4.41 | 163 | 141 |
| CT Scan (Computed Tomography) | $21.62 | 17 | 12 |
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