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Based on public Medicaid payment data.

Jarom Tate Farnsworth

Medicaid Provider in Salt Lake City, UT

Type

Individual Provider

Address

4460 S Highland Dr

Salt Lake City, UT 841243543

Phone

8889494864

NPI

1255954087

Procedures

2

Total Claims

653

Patients Served

514

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
Psychiatric Evaluation $139.93 583 455
Case Management Services $22.16 70 59

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