Based on public Medicaid payment data.
John Jackson
Medicaid Provider in Tomah, WI
Type
Individual Provider
Address
505 Gopher Dr
Tomah, WI 546604513
Phone
6083724111
NPI
1992850036
Procedures
2
Total Claims
531
Patients Served
513
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 | $11.44 | 430 | 429 |
| Office Visit | $225.27 | 101 | 84 |
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