Based on public Medicaid payment data.
Jordan Lee
Medicaid Provider in Honolulu, HI
Type
Individual Provider
Address
1301 Punchbowl St
Honolulu, HI 968132499
Phone
8086911000
NPI
1174847842
Procedures
2
Total Claims
395
Patients Served
237
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 | $110.10 | 382 | 224 |
| Office Visit | $136.62 | 13 | 13 |
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