Based on public Medicaid payment data.
Shopko Stores Operating Co Llc
Medicaid Provider in Appleton, WI
Type
Organization
Address
1000 W Northland Ave
Appleton, WI 549141419
Phone
9207396871
NPI
1811943269
Procedures
1
Total Claims
22
Patients Served
15
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 | $16.04 | 22 | 15 |
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