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Based on public Medicaid payment data.

Mona Lisa Jimenez

Medicaid Provider in Southlake, TX

Type

Individual Provider

Address

431 E State Highway 114 Fl 1

Southlake, TX 760924412

Phone

8448248775

NPI

1043828544

Procedures

3

Total Claims

986

Patients Served

905

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 $83.41 819 740
Nursing Facility Care $25.61 95 93
Psychiatric Evaluation $128.64 72 72

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