Based on public Medicaid payment data.
Levon Olivia Hatathlie
Medicaid Provider in Pinon, AZ
Type
Individual Provider
Address
Navajo Route 4
Pinon, AZ 865100010
Phone
9287253220
NPI
1366657843
Procedures
1
Total Claims
50
Patients Served
14
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 |
|---|---|---|---|
| Psychiatric Evaluation | $21.99 | 50 | 14 |
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