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Based on public Medicaid payment data.

Kyle Jefferson Jackson

Medicaid Provider in Tyler, TX

Type

Individual Provider

Address

619 S Fleishel Ave

Tyler, TX 757012004

Phone

9035101173

NPI

1548569056

Procedures

2

Total Claims

442

Patients Served

440

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 $42.84 405 403
Blood Work & Lab Tests $15.52 37 37

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