Based on public Medicaid payment data.
Susan Yvonne Michelle Eiteljorge
Medicaid Provider in Portland, TX
Type
Individual Provider
Address
125 Northshore Blvd
Portland, TX 783744206
Phone
3618526824
NPI
1528685385
Procedures
2
Total Claims
193
Patients Served
186
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 | $17.90 | 168 | 161 |
| Prescription Medications | $0.00 | 25 | 25 |
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