Based on public Medicaid payment data.
Lisa Diane Dietz
Medicaid Provider in Ponca City, OK
Type
Individual Provider
Address
222 E Grand Ave
Ponca City, OK 746014316
Phone
5807632256
NPI
1952438293
Procedures
1
Total Claims
507
Patients Served
213
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 |
|---|---|---|---|
| Substance Abuse Treatment | $76.94 | 507 | 213 |
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