Based on public Medicaid payment data.
Sandra Ana Antonovic
Medicaid Provider in Tigard, OR
Type
Individual Provider
Address
12442 Sw Scholls Ferry Rd
Tigard, OR 972230804
Phone
5032169140
NPI
1184773319
Procedures
2
Total Claims
919
Patients Served
889
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 | $54.08 | 569 | 546 |
| Vaccines & Immunizations | $17.42 | 350 | 343 |
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