Based on public Medicaid payment data.
Stephen Patrick Moon
Medicaid Provider in Forest Grove, OR
Type
Individual Provider
Address
3838 Pacific Ave
Forest Grove, OR 971162224
Phone
5039920288
NPI
1003890997
Procedures
7
Total Claims
14.7K
Patients Served
11.8K
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 |
|---|---|---|---|
| Emergency Room Visit | $156.97 | 9,265 | 7,124 |
| Blood Work & Lab Tests | $12.60 | 4,141 | 3,612 |
| Urinalysis & Urine Tests | $5.32 | 957 | 857 |
| EKG / ECG (Electrocardiogram) | $44.50 | 155 | 143 |
| X-Ray | $59.02 | 55 | 48 |
| Prescription Medications | $4.40 | 55 | 40 |
| CT Scan (Computed Tomography) | $445.24 | 27 | 24 |
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