Based on public Medicaid payment data.
Donald Richard Sullivan
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
3181 Sw Sam Jackson Park Rd
Portland, OR 972393011
Phone
5034946949
NPI
1003019621
Procedures
2
Total Claims
308
Patients Served
171
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 | $131.52 | 210 | 79 |
| Pulmonary Function Test | $4.67 | 98 | 92 |
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