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Based on public Medicaid payment data.

Jack Lee Otterstrom

Medicaid Provider in Independence, OR

Type

Individual Provider

Address

656 Jasmine Cir

Independence, OR 973519578

Phone

5412318023

NPI

1922163096

Procedures

1

Total Claims

195

Patients Served

138

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
Psychiatric Evaluation $55.97 195 138

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