Based on public Medicaid payment data.
Ethan Bernell Dalley
Medicaid Provider in Lubbock, TX
Type
Individual Provider
Address
3419 22Nd St
Lubbock, TX 79410
Phone
8067963000
NPI
1780818112
Procedures
1
Total Claims
12
Patients Served
12
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 |
|---|---|---|---|
| Prescription Medications | $1.07 | 12 | 12 |
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