Based on public Medicaid payment data.
Shobha Nookala
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
900 Main St
Peoria, IL 616021005
Phone
3096723100
NPI
1154336691
Procedures
2
Total Claims
770
Patients Served
647
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 | $91.90 | 430 | 359 |
| Psychiatric Evaluation | $76.41 | 340 | 288 |
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