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Based on public Medicaid payment data.

Mona Kamal Shah

Medicaid Provider in Portland, OR

Type

Individual Provider

Address

3181 Sw Sam Jackson Park Rd

Portland, OR 97239

Phone

5034947008

NPI

1487678470

Procedures

7

Total Claims

25.3K

Patients Served

23.5K

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 $177.76 12,850 12,000
Blood Work & Lab Tests $0.13 7,638 7,029
EKG / ECG (Electrocardiogram) $2.19 3,230 2,916
Urinalysis & Urine Tests $0.15 1,089 1,025
X-Ray $46.07 499 457
CT Scan (Computed Tomography) $234.40 25 25
Pulmonary Function Test $0.00 14 14

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