Based on public Medicaid payment data.
Shukufa Mansouri
Medicaid Provider in Longview, TX
Type
Individual Provider
Address
Christus Good Shepherd Medical Center
Longview, TX 75601
Phone
8043684302
NPI
1770171977
Procedures
6
Total Claims
3K
Patients Served
2.9K
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 |
|---|---|---|---|
| Emergency Room Visit | $142.51 | 1,963 | 1,901 |
| Urinalysis & Urine Tests | $11.50 | 433 | 407 |
| Blood Work & Lab Tests | $19.99 | 285 | 269 |
| X-Ray | $70.17 | 156 | 155 |
| Culture & Microbiology Tests | $11.26 | 124 | 120 |
| Prescription Medications | $9.25 | 15 | 15 |
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