Based on public Medicaid payment data.
Ashley Kelepolo
Medicaid Provider in Saint Johns, AZ
Type
Individual Provider
Address
625 N 13Th W
Saint Johns, AZ 859364986
Phone
9283373000
NPI
1790450229
Procedures
2
Total Claims
707
Patients Served
622
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 | $45.73 | 694 | 609 |
| Vaccines & Immunizations | $41.42 | 13 | 13 |
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