Based on public Medicaid payment data.
Wallace Jackson Champlain
Medicaid Provider in Tahlequah, OK
Type
Individual Provider
Address
1500 E Downing St Ste 208
Tahlequah, OK 744643234
Phone
9184562496
NPI
1689648636
Procedures
4
Total Claims
3.6K
Patients Served
2.7K
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 | $0.00 | 2,216 | 1,460 |
| Blood Work & Lab Tests | $3.56 | 1,211 | 1,091 |
| Vaccines & Immunizations | $0.00 | 84 | 79 |
| Urinalysis & Urine Tests | $5.45 | 45 | 39 |
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