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Based on public Medicaid payment data.

Lisa Noel Johnson

Medicaid Provider in Portland, OR

Type

Individual Provider

Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Phone

5034180990

NPI

1578095352

Procedures

4

Total Claims

882

Patients Served

841

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
X-Ray $5.85 265 245
CT Scan (Computed Tomography) $59.04 236 228
Ultrasound $28.14 234 225
Mammogram $27.13 147 143

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