Based on public Medicaid payment data.
Jaquelin Smith Gotlieb
Medicaid Provider in Stone Mountain, GA
Type
Individual Provider
Address
5405 Memorial Dr
Stone Mountain, GA 300833234
Phone
4042963800
NPI
1689672826
Procedures
6
Total Claims
11.3K
Patients Served
10.9K
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 |
|---|---|---|---|
| Vaccines & Immunizations | $18.53 | 5,882 | 5,746 |
| Office Visit | $60.82 | 4,493 | 4,296 |
| Pulmonary Function Test | $18.05 | 276 | 261 |
| Dental Cleaning & Exam | $5.12 | 259 | 256 |
| Hearing Test (Audiometry) | $10.67 | 195 | 188 |
| Blood Work & Lab Tests | $0.22 | 169 | 160 |
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