Based on public Medicaid payment data.
John Cory Moore
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
110 N 175Th St
Omaha, NE 681183582
Phone
4029555437
NPI
1932118486
Procedures
2
Total Claims
155
Patients Served
150
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 | $70.44 | 142 | 137 |
| Vaccines & Immunizations | $11.07 | 13 | 13 |
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