Based on public Medicaid payment data.
Lily Grace Southern
Medicaid Provider in Tahlequah, OK
Type
Individual Provider
Address
16414 W 760 Rd
Tahlequah, OK 744641675
Phone
9187089009
NPI
1447854260
Procedures
2
Total Claims
197
Patients Served
197
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 |
|---|---|---|---|
| Behavioral & Mental Health Therapy | $0.00 | 182 | 182 |
| Case Management Services | $0.00 | 15 | 15 |
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