Based on public Medicaid payment data.
Selena Martin Sideras
Medicaid Provider in Lebanon, OR
Type
Individual Provider
Address
200 Mullins Dr
Lebanon, OR 973553983
Phone
5412590200
NPI
1356733463
Procedures
2
Total Claims
613
Patients Served
592
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 | $168.37 | 530 | 509 |
| Vaccines & Immunizations | $20.77 | 83 | 83 |
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