Based on public Medicaid payment data.
Wal-Mart Stores East Lp
Medicaid Provider in Appleton, WI
Type
Organization
Address
955 N Mutual Way
Appleton, WI 549138415
Phone
9209546400
NPI
1629095781
Procedures
1
Total Claims
60
Patients Served
45
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 | $22.28 | 60 | 45 |
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