Based on public Medicaid payment data.
Beverly Aileen Vavricka
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
4140 W Memorial Rd
Oklahoma City, OK 731208366
Phone
4059368750
NPI
1649311069
Procedures
1
Total Claims
13
Patients Served
12
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 |
|---|---|---|---|
| Vaccines & Immunizations | $14.78 | 13 | 12 |
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