Based on public Medicaid payment data.
David Rodriguez
Medicaid Provider in Moore, OK
Type
Individual Provider
Address
828 Sw 4Th St
Moore, OK 731602413
Phone
4057997400
NPI
1528418175
Procedures
3
Total Claims
690
Patients Served
608
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 | $88.42 | 666 | 584 |
| Vaccines & Immunizations | $17.92 | 12 | 12 |
| Blood Work & Lab Tests | $7.18 | 12 | 12 |
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