Based on public Medicaid payment data.
Ethan David Pettyjohn
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
9755 Sw Barnes Rd
Portland, OR 972256651
Phone
5034444862
NPI
1619452307
Procedures
2
Total Claims
1.4K
Patients Served
1.3K
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 |
|---|---|---|---|
| Behavioral & Mental Health Therapy | $166.44 | 1,271 | 1,260 |
| Psychiatric Evaluation | $79.19 | 109 | 81 |
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