Based on public Medicaid payment data.
Jessica Elise Jackson
Medicaid Provider in Moore, OK
Type
Individual Provider
Address
2109 S Santa Fe Ave
Moore, OK 731602807
Phone
4052130256
NPI
1023553187
Procedures
1
Total Claims
1.1K
Patients Served
1.1K
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 | $104.39 | 1,092 | 1,083 |
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