Based on public Medicaid payment data.
Shannon Lesley Lange
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
Brooke Army Medical Center
San Antonio, TX 782344504
Phone
2109163160
NPI
1225513591
Procedures
6
Total Claims
918
Patients Served
906
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 | $5.81 | 499 | 490 |
| Vaccines & Immunizations | $0.02 | 242 | 241 |
| Hearing Test (Audiometry) | $0.23 | 94 | 94 |
| Blood Work & Lab Tests | $0.00 | 58 | 57 |
| Eye Exam | $0.00 | 13 | 12 |
| Culture & Microbiology Tests | $0.00 | 12 | 12 |
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