Based on public Medicaid payment data.
Jodi Dionne Bourne
Medicaid Provider in Pine Ridge, SD
Type
Individual Provider
Address
East Hwy 18
Pine Ridge, SD 57770
Phone
6058673062
NPI
1144494949
Procedures
1
Total Claims
424
Patients Served
323
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 |
|---|---|---|---|
| Upper Endoscopy (EGD) | $395.28 | 424 | 323 |
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