Based on public Medicaid payment data.
Jasmine Lopez
Medicaid Provider in Rockford, IL
Type
Individual Provider
Address
6430 E State St
Rockford, IL 611082529
Phone
8157088561
NPI
1063291201
Procedures
2
Total Claims
229
Patients Served
151
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 |
|---|---|---|---|
| Eye Exam | $23.61 | 205 | 139 |
| Office Visit | $90.81 | 24 | 12 |
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