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Based on public Medicaid payment data.

Jonathan Peter Boltax

Medicaid Provider in Jackson, WY

Type

Individual Provider

Address

555 E Broadway Ave Ste 220

Jackson, WY 830018640

Phone

3077397305

NPI

1629023692

Procedures

2

Total Claims

889

Patients Served

749

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
Pulmonary Function Test $5.54 777 710
Emergency Room Visit $101.19 112 39

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