Based on public Medicaid payment data.
Michelle Jennifer Forman
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
22 S Greene St
Baltimore, MD 212011544
Phone
4103283477
NPI
1750563896
Procedures
3
Total Claims
705
Patients Served
667
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 |
|---|---|---|---|
| Mammogram | $112.57 | 439 | 429 |
| X-Ray | $28.63 | 241 | 213 |
| CT Scan (Computed Tomography) | $342.63 | 25 | 25 |
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