Based on public Medicaid payment data.
Shane Christopher Kim
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
1130 Nw 22Nd Ave Ste 420
Portland, OR 972102995
Phone
5034134992
NPI
1871623678
Procedures
2
Total Claims
768
Patients Served
730
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 | $91.77 | 742 | 706 |
| Prescription Medications | $0.00 | 26 | 24 |
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