Based on public Medicaid payment data.
Fredericka Jackson
Medicaid Provider in La Vista, NE
Type
Individual Provider
Address
6901 S 84Th St
La Vista, NE 681282127
Phone
4023391090
NPI
1457993750
Procedures
1
Total Claims
64
Patients Served
53
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 | $18.77 | 64 | 53 |
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