Based on public Medicaid payment data.
Ida Mae Boatman-Goussios
Medicaid Provider in Jefferson City, TN
Type
Individual Provider
Address
1413 Russell Ave
Jefferson City, TN 377602562
Phone
8654715525
NPI
1346405958
Procedures
1
Total Claims
714
Patients Served
521
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 | $38.86 | 714 | 521 |
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