Based on public Medicaid payment data.
Wal-Mart Stores East Lp
Medicaid Provider in Antigo, WI
Type
Organization
Address
200 E State Highway 64
Antigo, WI 544092967
Phone
7156271636
NPI
1619994787
Procedures
1
Total Claims
144
Patients Served
114
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 |
|---|---|---|---|
| Vaccines & Immunizations | $17.52 | 144 | 114 |
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