Based on public Medicaid payment data.
Sameena F Nasrullah
Medicaid Provider in Fairfax, VA
Type
Individual Provider
Address
2722 Merrilee Dr
Fairfax, VA 220314400
Phone
7036984483
NPI
1023042231
Procedures
2
Total Claims
160
Patients Served
159
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 | $67.65 | 148 | 147 |
| Ultrasound | $79.25 | 12 | 12 |
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