Based on public Medicaid payment data.
Intercare Community Health Network
Medicaid Provider in Bangor, MI
Type
Organization
Address
308 Charles St
Bangor, MI 49013
Phone
2694277967
NPI
1992818835
Procedures
12
Total Claims
66.3K
Patients Served
59K
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 | $2.56 | 23,745 | 21,823 |
| Dental Cleaning & Exam | $60.65 | 14,297 | 14,132 |
| Vaccines & Immunizations | $1.08 | 7,953 | 7,881 |
| Psychiatric Evaluation | $16.33 | 6,444 | 5,159 |
| Tooth Extraction | $90.85 | 4,613 | 2,263 |
| Blood Work & Lab Tests | $0.34 | 4,484 | 3,824 |
| Dental Filling | $117.92 | 2,265 | 1,701 |
| Urinalysis & Urine Tests | $0.24 | 1,946 | 1,714 |
| Substance Abuse Treatment | $6.11 | 235 | 166 |
| Behavioral & Mental Health Therapy | $3.67 | 199 | 193 |
| Hearing Test (Audiometry) | $0.59 | 107 | 107 |
| Prescription Medications | $57.46 | 13 | 13 |
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