Based on public Medicaid payment data.
Amira Dervisevic
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
501 S Chipeta Way
Salt Lake City, UT 841081222
Phone
8015873270
NPI
1881360295
Procedures
2
Total Claims
26
Patients Served
26
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 | $165.90 | 13 | 13 |
| Psychiatric Evaluation | $0.00 | 13 | 13 |
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