Based on public Medicaid payment data.
Micaela Jane Dagucon
Medicaid Provider in Usaf Academy, CO
Type
Individual Provider
Address
10Th Mdg
Usaf Academy, CO 808402502
Phone
7193335142
NPI
1396182234
Procedures
1
Total Claims
127
Patients Served
127
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 | $129.15 | 127 | 127 |
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