Based on public Medicaid payment data.
Manhouly Phouthachack
Medicaid Provider in Bristol, CT
Type
Individual Provider
Address
839 Farmington Ave
Bristol, CT 060103922
Phone
8663892727
NPI
1295965481
Procedures
2
Total Claims
929
Patients Served
849
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 | $29.42 | 874 | 795 |
| Vaccines & Immunizations | $4.10 | 55 | 54 |
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