Based on public Medicaid payment data.
Alexis Jade Moon
Medicaid Provider in San Angelo, TX
Type
Individual Provider
Address
271 Fort Richardson Ave
San Angelo, TX 769084901
Phone
3256544390
NPI
1922848274
Procedures
1
Total Claims
67
Patients Served
66
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 | $106.39 | 67 | 66 |
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