Based on public Medicaid payment data.
Joben Samson Banan
Medicaid Provider in Rockwall, TX
Type
Individual Provider
Address
2235 S Goliad St Ste 110
Rockwall, TX 750324903
Phone
4694959142
NPI
1699256636
Procedures
1
Total Claims
121
Patients Served
116
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 | $5.14 | 121 | 116 |
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