Based on public Medicaid payment data.
Jacqueline Celeste Evans
Medicaid Provider in Fort Sam Houston, TX
Type
Individual Provider
Address
3551 Roger Brooke Dr # 3600
Fort Sam Houston, TX 78234
Phone
2109166129
NPI
1154733582
Procedures
4
Total Claims
1.2K
Patients Served
1.1K
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 |
|---|---|---|---|
| Emergency Room Visit | $133.25 | 1,072 | 1,028 |
| Blood Work & Lab Tests | $1.06 | 57 | 57 |
| X-Ray | $1.80 | 25 | 25 |
| Prescription Medications | $0.16 | 16 | 13 |
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