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Based on public Medicaid payment data.

Blake Brickey Jacks

Medicaid Provider in Little Rock, AR

Type

Individual Provider

Address

8901 Carti Way

Little Rock, AR 722056523

Phone

5019063000

NPI

1255726956

Procedures

2

Total Claims

42

Patients Served

31

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
X-Ray $1.17 24 19
CT Scan (Computed Tomography) $107.10 18 12

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