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Based on public Medicaid payment data.

Lisa I Mansur

Medicaid Provider in Lincoln, NE

Type

Individual Provider

Address

3401 Plantation Dr

Lincoln, NE 685164712

Phone

4023288863

NPI

1558300830

Procedures

6

Total Claims

8K

Patients Served

6.7K

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 $46.31 5,843 4,875
Pulmonary Function Test $18.19 1,510 1,261
X-Ray $8.41 411 375
Sleep Study (Polysomnography) $184.18 203 185
CT Scan (Computed Tomography) $107.71 13 12
Vaccines & Immunizations $83.42 12 12

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