Based on public Medicaid payment data.
Shelby Lynn Icenhower
Medicaid Provider in Springfield, MO
Type
Individual Provider
Address
1235 E Cherokee St
Springfield, MO 658042203
Phone
4178202115
NPI
1619645918
Procedures
6
Total Claims
2.1K
Patients Served
2K
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 | $4.46 | 992 | 948 |
| Emergency Room Visit | $153.36 | 817 | 794 |
| Urinalysis & Urine Tests | $1.82 | 126 | 120 |
| EKG / ECG (Electrocardiogram) | $35.35 | 75 | 68 |
| X-Ray | $61.65 | 58 | 55 |
| CT Scan (Computed Tomography) | $201.31 | 14 | 13 |
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