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Based on public Medicaid payment data.

Devon Simone Ellena

Medicaid Provider in Apple Valley, MN

Type

Individual Provider

Address

14655 Galaxie Ave

Apple Valley, MN 551248602

Phone

9524326161

NPI

1467087064

Procedures

3

Total Claims

655

Patients Served

623

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 $82.11 397 374
Blood Work & Lab Tests $5.88 243 235
Vaccines & Immunizations $11.87 15 14

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