Based on public Medicaid payment data.
Shannon Riley Dasilva
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
4801 Sleepy Ridge Cir
Fort Worth, TX 761338328
Phone
8177272066
NPI
1033461785
Procedures
9
Total Claims
14K
Patients Served
11.9K
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 | $56.57 | 7,432 | 6,170 |
| Blood Work & Lab Tests | $4.01 | 2,659 | 2,426 |
| Ultrasound | $106.74 | 1,677 | 1,248 |
| Urinalysis & Urine Tests | $2.49 | 990 | 820 |
| Pregnancy & Prenatal Care | $69.80 | 696 | 669 |
| Vaccines & Immunizations | $35.56 | 545 | 530 |
| Substance Abuse Treatment | $6.27 | 16 | 13 |
| Pathology & Lab Services | $22.44 | 14 | 12 |
| Emergency Room Visit | $37.30 | 12 | 12 |
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