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Based on public Medicaid payment data.

Lynette Michelle Petibone

Medicaid Provider in Tigard, OR

Type

Individual Provider

Address

14104 Sw 121St Ave

Tigard, OR 972242818

Phone

5034436902

NPI

1114285376

Procedures

2

Total Claims

227

Patients Served

154

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 $96.66 153 85
Blood Work & Lab Tests $7.04 74 69

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