Based on public Medicaid payment data.
Charles S Polley
Medicaid Provider in Cody, WY
Type
Individual Provider
Address
707 Sheridan Ave
Cody, WY 824143409
Phone
3075277501
NPI
1215028642
Procedures
2
Total Claims
167
Patients Served
115
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 | $226.61 | 137 | 91 |
| Blood Work & Lab Tests | $0.29 | 30 | 24 |
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