Based on public Medicaid payment data.
Alfred Vaughn Derise Jackson
Medicaid Provider in Knoxville, TN
Type
Individual Provider
Address
930 Adell Ree Park Ln
Knoxville, TN 379092543
Phone
8657692600
NPI
1609189695
Procedures
3
Total Claims
2.8K
Patients Served
2.1K
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 |
|---|---|---|---|
| Office Visit | $40.94 | 1,987 | 1,447 |
| Blood Work & Lab Tests | $0.77 | 719 | 559 |
| Urinalysis & Urine Tests | $1.40 | 60 | 50 |
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