Based on public Medicaid payment data.
Stephanie P Souvannachak-Cowick
Medicaid Provider in Tulsa, OK
Type
Individual Provider
Address
10920 S Memorial Dr
Tulsa, OK 741337352
Phone
9183662020
NPI
1962926253
Procedures
1
Total Claims
1.2K
Patients Served
1.2K
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 |
|---|---|---|---|
| Eye Exam | $71.50 | 1,164 | 1,163 |
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