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Based on public Medicaid payment data.

Grace Adeline Koontz

Medicaid Provider in Mountlake Terrace, WA

Type

Individual Provider

Address

6505 216Th St Sw Ste 100

Mountlake Terrace, WA 980432089

Phone

3608543644

NPI

1760037626

Procedures

1

Total Claims

132

Patients Served

64

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
Psychiatric Evaluation $107.18 132 64

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