Based on public Medicaid payment data.
Jacy Kathleen Godsey
Medicaid Provider in San Manuel, AZ
Type
Individual Provider
Address
23 S Mcnab Pkwy
San Manuel, AZ 856311156
Phone
5203852234
NPI
1376039057
Procedures
4
Total Claims
280
Patients Served
273
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 | $64.66 | 190 | 184 |
| Culture & Microbiology Tests | $4.75 | 44 | 43 |
| Urinalysis & Urine Tests | $7.13 | 30 | 30 |
| Prescription Medications | $84.00 | 16 | 16 |
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