Based on public Medicaid payment data.
Punprapai Boriboonsomsin
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
3600 N Interstate Ave
Portland, OR 972271106
Phone
8008132000
NPI
1114176856
Procedures
1
Total Claims
12
Patients Served
12
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 | $342.27 | 12 | 12 |
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