Based on public Medicaid payment data.
Nicole Campolucci
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
450 S 900 E
Salt Lake City, UT 841022981
Phone
8015347912
NPI
1265733414
Procedures
2
Total Claims
758
Patients Served
543
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 | $210.89 | 678 | 470 |
| Case Management Services | $39.21 | 80 | 73 |
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