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Based on public Medicaid payment data.

Sarah Pettyjohn

Medicaid Provider in Jbsa Lackland, TX

Type

Individual Provider

Address

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 782365638

Phone

2102925282

NPI

1215327762

Procedures

2

Total Claims

173

Patients Served

164

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
CT Scan (Computed Tomography) $38.10 93 90
X-Ray $5.40 80 74

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