Based on public Medicaid payment data.
Khamphoucanh Southisombath
Medicaid Provider in Federal Way, WA
Type
Individual Provider
Address
32018 23Rd Ave S
Federal Way, WA 980036022
Phone
2065205000
NPI
1114316734
Procedures
4
Total Claims
4.4K
Patients Served
4.1K
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 | $35.52 | 3,837 | 3,540 |
| Vaccines & Immunizations | $12.34 | 498 | 489 |
| Blood Work & Lab Tests | $7.43 | 81 | 78 |
| Urinalysis & Urine Tests | $3.28 | 12 | 12 |
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