Based on public Medicaid payment data.
Peter Jackson
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
2222 Nw Lovejoy St
Portland, OR 972103033
Phone
5034135702
NPI
1598054132
Procedures
2
Total Claims
294
Patients Served
182
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 | $139.78 | 164 | 85 |
| Pulmonary Function Test | $7.44 | 130 | 97 |
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