Based on public Medicaid payment data.
Jerilyn De Von Jackson
Medicaid Provider in Santa Rosa, CA
Type
Individual Provider
Address
1110 N Dutton Ave
Santa Rosa, CA 954014606
Phone
7073033600
NPI
1962446575
Procedures
3
Total Claims
4.9K
Patients Served
2.9K
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 | $2.23 | 4,800 | 2,860 |
| Vaccines & Immunizations | $10.10 | 47 | 31 |
| Emergency Room Visit | $0.00 | 41 | 38 |
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