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Based on public Medicaid payment data.

Jourdan Ashley Clum

Medicaid Provider in Lake City, FL

Type

Individual Provider

Address

1859 Sw Newland Way

Lake City, FL 320256966

Phone

3867580003

NPI

1073383345

Procedures

3

Total Claims

275

Patients Served

266

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 $28.15 219 210
Vaccines & Immunizations $14.80 40 40
Hearing Test (Audiometry) $22.30 16 16

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