Based on public Medicaid payment data.
Jenna Kanoelani Wong
Medicaid Provider in Provo, UT
Type
Individual Provider
Address
475 W 940 N
Provo, UT 846043301
Phone
8013577940
NPI
1417416785
Procedures
2
Total Claims
637
Patients Served
563
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 | $76.40 | 625 | 551 |
| Vaccines & Immunizations | $4.07 | 12 | 12 |
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