Based on public Medicaid payment data.
Alexis Moore
Medicaid Provider in San Angelo, TX
Type
Individual Provider
Address
3555 Knickerbocker Rd
San Angelo, TX 769047610
Phone
3257472225
NPI
1720816861
Procedures
1
Total Claims
18
Patients Served
18
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 | $10.60 | 18 | 18 |
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