Based on public Medicaid payment data.
Micah Johnson
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
1600 N Grand Ave
Pueblo, CO 810032700
Phone
7195957040
NPI
1326469248
Procedures
2
Total Claims
631
Patients Served
619
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 |
|---|---|---|---|
| X-Ray | $54.92 | 406 | 401 |
| Office Visit | $118.66 | 225 | 218 |
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