Based on public Medicaid payment data.
Sasa K Jackson
Medicaid Provider in Moore, OK
Type
Individual Provider
Address
1400 Se 4Th St
Moore, OK 731607329
Phone
4057997400
NPI
1447521539
Procedures
5
Total Claims
9.7K
Patients Served
9.5K
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 | $118.35 | 8,832 | 8,686 |
| Blood Work & Lab Tests | $14.92 | 634 | 622 |
| Urinalysis & Urine Tests | $6.12 | 142 | 142 |
| X-Ray | $14.35 | 33 | 33 |
| Culture & Microbiology Tests | $7.88 | 29 | 29 |
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