Based on public Medicaid payment data.
Thomas Paul Gustafson
Medicaid Provider in Chisago City, MN
Type
Individual Provider
Address
11725 Stinson Ave
Chisago City, MN 550139542
Phone
6512578499
NPI
1225253693
Procedures
1
Total Claims
26
Patients Served
26
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 | $51.79 | 26 | 26 |
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