Based on public Medicaid payment data.
Alicia Theilen
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
14301 Fnb Pkwy Ste 100
Omaha, NE 681547200
Phone
4028198019
NPI
1194179903
Procedures
3
Total Claims
1.2K
Patients Served
819
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 | $59.03 | 1,145 | 731 |
| Psychiatric Evaluation | $85.78 | 62 | 51 |
| Emergency Room Visit | $51.48 | 38 | 37 |
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