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Based on public Medicaid payment data.

Misty D Tom

Medicaid Provider in Wilburton, OK

Type

Individual Provider

Address

10343 Sw 140Th Rd

Wilburton, OK 745786858

Phone

9184298742

NPI

1558960302

Procedures

2

Total Claims

148

Patients Served

54

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
Behavioral & Mental Health Therapy $69.54 122 42
Case Management Services $40.46 26 12

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