Based on public Medicaid payment data.
Jacob David Sams
Medicaid Provider in Mt. Zion, IL
Type
Individual Provider
Address
104 Ashland Ave.
Mt. Zion, IL 62549
Phone
2178642665
NPI
1730340498
Procedures
2
Total Claims
147
Patients Served
119
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 | $20.88 | 129 | 107 |
| X-Ray | $13.88 | 18 | 12 |
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