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Based on public Medicaid payment data.

Amanda Mathias Rajendran

Medicaid Provider in Dekalb, IL

Type

Individual Provider

Address

385 Wirtz Dr.

Dekalb, IL 601156118

Phone

8153062777

NPI

1407018484

Procedures

2

Total Claims

263

Patients Served

227

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 $70.31 169 145
Vaccines & Immunizations $12.59 94 82

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