Based on public Medicaid payment data.
Shanda Brack
Medicaid Provider in Waianae, HI
Type
Individual Provider
Address
86-260 Farrington Hwy
Waianae, HI 967923128
Phone
8086973800
NPI
1316024102
Procedures
3
Total Claims
3.2K
Patients Served
2.8K
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 | $273.41 | 2,971 | 2,591 |
| Vaccines & Immunizations | $1.80 | 200 | 181 |
| Blood Work & Lab Tests | $0.00 | 46 | 44 |
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