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Based on public Medicaid payment data.

Jack F Jacoub

Medicaid Provider in Fountain Valley, CA

Type

Individual Provider

Address

18111 Brookhurst St Ste 6100

Fountain Valley, CA 927086728

Phone

7143787330

NPI

1528016318

Procedures

3

Total Claims

2.1K

Patients Served

1.7K

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 $9.80 1,623 1,421
Chemotherapy $5.28 363 219
Blood Work & Lab Tests $0.46 128 93

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