Based on public Medicaid payment data.
Jack Rusley
Medicaid Provider in Providence, RI
Type
Individual Provider
Address
1 Hoppin St Ste 305
Providence, RI 029034141
Phone
4014445980
NPI
1639499395
Procedures
2
Total Claims
396
Patients Served
357
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 | $114.00 | 383 | 344 |
| Vaccines & Immunizations | $33.33 | 13 | 13 |
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