Based on public Medicaid payment data.
Shirelle Latrice Clark
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
3303 S Bond Ave
Portland, OR 972394501
Phone
5034946594
NPI
1144797085
Procedures
2
Total Claims
110
Patients Served
90
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $1.81 | 98 | 78 |
| Office Visit | $69.25 | 12 | 12 |
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