Based on public Medicaid payment data.
Thomas James Jackson
Medicaid Provider in Sullivan, MO
Type
Individual Provider
Address
965 Mattox Dr
Sullivan, MO 630802365
Phone
5738606000
NPI
1528262698
Procedures
5
Total Claims
11.5K
Patients Served
9.2K
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 | $87.86 | 6,098 | 4,705 |
| Blood Work & Lab Tests | $17.04 | 4,369 | 3,971 |
| Physical Therapy | $9.79 | 505 | 51 |
| Nursing Facility Care | $58.59 | 497 | 415 |
| Emergency Room Visit | $350.17 | 12 | 12 |
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