Based on public Medicaid payment data.
Nicholas Ray Von Holten
Medicaid Provider in Bloomington, IL
Type
Individual Provider
Address
1111 Trinity Ln Ste 111
Bloomington, IL 617048112
Phone
3096636461
NPI
1063054278
Procedures
1
Total Claims
272
Patients Served
234
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 |
|---|---|---|---|
| Emergency Room Visit | $77.13 | 272 | 234 |
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