Based on public Medicaid payment data.
Ifekan-Shango Simon
Medicaid Provider in Spartanburg, SC
Type
Individual Provider
Address
853 N Church St
Spartanburg, SC 293033098
Phone
8645601558
NPI
1992742837
Procedures
6
Total Claims
50.5K
Patients Served
44.7K
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 | $76.42 | 42,625 | 37,572 |
| Urinalysis & Urine Tests | $3.78 | 6,801 | 6,222 |
| Prescription Medications | $3.27 | 779 | 694 |
| Pulmonary Function Test | $9.75 | 158 | 97 |
| X-Ray | $20.08 | 112 | 84 |
| Blood Work & Lab Tests | $2.26 | 26 | 26 |
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