Based on public Medicaid payment data.
Justin Gourley
Medicaid Provider in Jefferson City, MO
Type
Individual Provider
Address
401 Supercenter Dr
Jefferson City, MO 651018190
Phone
5736353877
NPI
1447627336
Procedures
1
Total Claims
12
Patients Served
12
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 |
|---|---|---|---|
| Vaccines & Immunizations | $17.63 | 12 | 12 |
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