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Based on public Medicaid payment data.

Shannon Smith Tiebout

Medicaid Provider in Loris, SC

Type

Individual Provider

Address

3418 Casey St

Loris, SC 295692904

Phone

8437567885

NPI

1205488848

Procedures

3

Total Claims

970

Patients Served

876

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 $63.04 862 779
Blood Work & Lab Tests $3.89 57 55
Vaccines & Immunizations $32.07 51 42

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