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Based on public Medicaid payment data.

Elisha Nichole Betancourt

Medicaid Provider in West Jordan, UT

Type

Individual Provider

Address

7625 S 3200 W Ste 2

West Jordan, UT 840842887

Phone

8019150359

NPI

1659887222

Procedures

1

Total Claims

158

Patients Served

75

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
Psychiatric Evaluation $141.33 158 75

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