Based on public Medicaid payment data.
Sophie Rae Johnson
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
1400 S Dobson Rd
Mesa, AZ 852024707
Phone
4804123000
NPI
1700665569
Procedures
2
Total Claims
163
Patients Served
163
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 |
|---|---|---|---|
| Emergency Room Visit | $107.65 | 123 | 123 |
| Office Visit | $84.58 | 40 | 40 |
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